CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Adventist Health Portland

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $392
  • Cash Discount Price: $225
  • vs. Medicare Baseline: 2.50x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Adventist Health Portland is $392. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.50x the Medicare baseline. Located in 10123 Se Market Street, Portland, OR.
Cash / Self-Pay
$225

Average discount available for prompt cash payment at this facility.

Insurance Median
$392

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: $225 (143%)
Insurance Median: $392 (250%)
Cash: $225 (143% of Medicare)
Ins. Median: $392 (250% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 250% of the Medicare baseline (a markup of 150%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Ods - All Plans $136 87%
Pacific Source Comm - All Plans $137 87%
Care Oregon - All Plans $145 92%
Healthcare Resources - All Plans $158 101%
Kaiser Mcr Adv $170 108%
Humana $174 - $181 111%
Moda Mcr Adv $181 115%
UnitedHealthcare $181 - $422 115%
Healthnet Mcr Adv $196 125%
Workers Comp $244 155%
Ah Employee Health Plan - All Plans $307 196%
Cigna $310 197%
Regence Ohsu Plus $334 213%
Moda Conn Oebb/Syn Pebb $341 217%
Bc Premera First - All Plans $352 224%
Regence - All Other Plans $371 236%
Moda Affinity - All Other Plans $392 250%
Worldventure - All Plans $422 269%
Kaiser - All Other Plans $444 283%
Regence Preferred Mcr Adv $459 292%
First Choice - All Plans $488 311%
Providence Hp - All Plans $500 319%
Multiplan - All Plans $528 336%
Phcs - All Plans $528 336%
Moda Select $533 340%
Regence Mcr Adv $535 341%
Aetna $550 350%
First Health-Coventry - All Plans $563 359%
Moda Connexus $603 384%
National Provider Network - All Plans $620 395%
Health Payors Organization Ltd- All Plans $634 404%
Moda Synergy $638 406%
Moda Ohsu Ppo/Epo/Hmc $1,267 807%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10123 Se Market Street, Portland, OR 97216
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals