CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Adventist Health Tillamook

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $307
Cash Discount Price: $298
vs. Medicare Baseline: 1.96x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Adventist Health Tillamook is $307. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $298. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.96x the Medicare baseline. Located in 1000 Third Street, Tillamook, OR.

Cash / Self-Pay

$298

Average discount available for prompt cash payment at this facility.

Insurance Median

$307

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: $298 (190%)

Insurance Median: $307 (196%)

Cash: $298 (190% of Medicare)

Ins. Median: $307 (196% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$46 - $556	29%
Moda Health Plan - All Plans	$47 - $281	30%
Medicare (plans)	$48 - $281	31%
Pacificsource - All Plans	$48 - $574	31%
Sterling Life - All Plans	$48 - $292	31%
Devoted Health	$49 - $304	31%
UnitedHealthcare	$50 - $568	32%
Blue Cross Blue Shield	$53 - $520	34%
Hvhs Mcare - All Plans	$55 - $284	35%
Ods Health Plan - All Other Plans	$106 - $580	68%
Lifewise - All Plans	$282 - $539	180%
Ah Employee Health Plan - All Plans	$294 - $562	187%
First Choice Health- All Plans	$294 - $562	187%
Health Net - All Plans	$294 - $562	187%
Providence Preferred - All Plans	$307 - $586	196%
Workers Comp	$313 - $598	199%
Cigna	$523 - $568	333%
Phcs Preferred - All Plans	$523 - $568	333%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $298.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Tillamook is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.