CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: OHSU Hospital and Clinics

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $145
  • Cash Discount Price: $358
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at OHSU Hospital and Clinics is $145. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $358. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.92x the Medicare baseline. Located in 3181 Sw Sam Jackson Park Road, Portland, OR.
Cash / Self-Pay
$358

Average discount available for prompt cash payment at this facility.

Insurance Median
$145

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)
Cash / Self-Pay: $358 (228%)
Insurance Median: $145 (92%)
Cash: $358 (228% of Medicare)
Ins. Median: $145 (92% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Care Oregon $98 - $145 62%
Intercommunity Health Network $98 62%
Kaiser Foundation Hospitals $98 - $285 62%
Medicare (plans) $98 - $196 62%
Pacific Source $98 - $429 62%
Community Health Plan Of Washington $106 - $172 68%
Humana $123 - $130 78%
Trillium $123 78%
Moda $129 - $427 82%
UnitedHealthcare $130 - $201 83%
Aetna $132 - $551 84%
Health Net Health Plan Of Oregon, Inc. $141 - $427 90%
Providence Health Plan $147 - $502 94%
Samaritan Health Plan $303 - $306 193%
Tuality Health $358 228%
Blue Cross Blue Shield $387 247%
Coventry First Health $413 263%
First Choice $417 266%
Cigna $433 276%
Molina Exchange $551 351%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3181 Sw Sam Jackson Park Road, Portland, OR 97239
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals