CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Bella Vista Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $83
  • Cash Discount Price: $80
  • vs. Medicare Baseline: 0.53x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Bella Vista Hospital is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.53x the Medicare baseline. Located in Carr 349 Km 2 7 Cerro Las Mesas, Mayaguez, PR.
Cash / Self-Pay
$80

Average discount available for prompt cash payment at this facility.

Insurance Median
$83

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: $80 (51%)
Insurance Median: $83 (53%)
Cash: $80 (51% of Medicare)
Ins. Median: $83 (53% 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
Triple S $41 - $59 26%
Medicare (plans) $52 - $80 33%
Mcs $70 45%
Asociacion Maestros (Prossam) $80 51%
International Medical Card $80 51%
Preferred Medical Choice(Pmc) $80 51%
Triple S Advantage $80 - $118 51%
First Medical Vital $85 54%
Plan Salud Menonita Vital $88 56%
Servicios De Salud Bella Vista $92 59%
Mapfre Life Insurance Life Insurance $108 69%
Triple S Vital $113 72%
Champva $118 75%
Tricare $118 75%
UnitedHealthcare $118 75%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Carr 349 Km 2 7 Cerro Las Mesas, Mayaguez, PR 00681
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals