CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Caribbean Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $52
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.33x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Caribbean Medical Center is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.33x the Medicare baseline. Located in 151 Ave Osvaldo Molina, Fajardo, PR.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$52

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%)

Insurance Median: $52 (33%)

Ins. Median: $52 (33% 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
Imc Privado	$36	23%
Triples S Reforma	$39 - $93	25%
Triple S Privado	$41	26%
Asociacion De Maestros Pr	$42 - $85	27%
Mcs Classicare	$42 - $52	27%
Menonita Privado	$42 - $85	27%
Humana	$45 - $111	29%
Medicare (plans)	$45 - $118	29%
Mmm	$45 - $118	29%
Veteran Administration	$45	29%
Tricare	$46 - $118	29%
Champva	$47 - $118	30%
First Medical Ases	$47 - $113	30%
Mmm Multi Health Ases	$47 - $113	30%
Health First	$49	31%
UnitedHealthcare	$49	31%
Well Care	$49	31%
Tsa	$51 - $124	32%
Auxilio Mutuo	$56	36%
Auxilio Mutuo Plus	$56 - $112	36%
Mcs Privado	$70	45%
Menonita Ases	$79 - $166	50%

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 $X.
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 Caribbean Medical Center 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.