CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Hospital San Francisco

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $85
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 0.54x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Hospital San Francisco is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.54x the Medicare baseline. Located in 371 De Diego Ave, San Juan, PR.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$85

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: $75 (48%)
Insurance Median: $85 (54%)
Cash: $75 (48% of Medicare)
Ins. Median: $85 (54% 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
First Medical $37 - $40 24%
Plan De Salud Menonita $38 - $123 24%
Triple S $43 - $112 27%
Bl $50 32%
Mso $53 - $86 34%
Mapfre $54 34%
Humana $69 - $85 44%
Mcs $70 - $81 45%
Privado $75 48%
Pr Other Insurances $83 53%
Medicare (plans) $86 55%
Tricare $86 55%
Comerciales $94 60%
Prossam $105 67%
Ch $122 78%
Mpc - Us $122 78%
UnitedHealthcare $122 78%
Us $122 78%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 371 De Diego Ave, San Juan, PR 00923
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals