CMS Price Transparency Data
Diagnostic mammogram (both breasts)
Facility: Cannon Memorial Hospital
Billing Code: 77066 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77066
- Insurance Median: $104
- Cash Discount Price: $107
- vs. Medicare Baseline: 0.66x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Cannon Memorial Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.66x the Medicare baseline. Located in 123 W G Acker Drive, Pickens, SC.
Cash / Self-Pay
$107
Average discount available for prompt cash payment at this facility.
Insurance Median
$104
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: $107 (68%)
Insurance Median: $104 (66%)
Cash: $107 (68% of Medicare)
Ins. Median: $104 (66% 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 |
|---|---|---|
| Phcs [940] | $21 - $374 | 13% |
| Employee Benefit Management Services [869] | $25 - $204 | 16% |
| Blue Choice Health Plan [922] | $26 - $230 | 17% |
| Blue Cross Blue Shield | $26 - $380 | 17% |
| Medicaid / KanCare | $35 - $400 | 22% |
| Humana | $36 - $467 | 23% |
| Planned Administrators [886] | $37 - $204 | 24% |
| Thomas Cooper & Company [315] | $37 - $204 | 24% |
| Select Health Of Sc [637] | $40 - $132 | 25% |
| Aetna | $43 - $227 | 27% |
| Medicare (plans) | $43 - $400 | 27% |
| UnitedHealthcare | $43 - $400 | 27% |
| Vaccn - Va Community Care Network [16] | $43 - $142 | 27% |
| Veterans Administration [633] | $43 - $142 | 27% |
| Cigna | $44 - $400 | 28% |
| Devoted Health Alt Payer [9401] | $44 - $145 | 28% |
| Devoted Health [94] | $44 - $145 | 28% |
| Molina Dual Options Alt Payer [1501] | $44 - $146 | 28% |
| Molina Dual Options [15] | $44 - $146 | 28% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $45 - $147 | 29% |
| Absolute Total Care Mcr Plans [41] | $45 - $147 | 29% |
| Champva [604] | $45 - $147 | 29% |
| First Choice Vip Careplus Alt Payer [3301] | $45 - $149 | 29% |
| First Choice Vip [33] | $45 - $149 | 29% |
| Nhc Advantage Alt Payer [6101] | $45 - $149 | 29% |
| Nhc Advantage [61] | $45 - $149 | 29% |
| Tricare | $45 - $147 | 29% |
| Absolute Total Care [58] | $46 - $149 | 29% |
| Geha [302] | $48 - $213 | 31% |
| Golden Rule Ins Co [584] | $48 - $213 | 31% |
| Bright Health Alt Payer [1001] | $51 - $164 | 32% |
| Mail Handlers Benefit Plan [327] | $51 - $227 | 32% |
| Rural Carrier Benefit Plan [406] | $51 - $227 | 32% |
| Medcost [206] | $54 - $377 | 34% |
| Nalc Health Benefit Plan [291] | $54 - $262 | 34% |
| Preferred Administrators [19] | $54 - $255 | 34% |
| Coventry Health [245] | $56 - $288 | 36% |
| Ambetter / Centene | $62 - $203 | 39% |
| First Choice Next [96] | $63 - $206 | 40% |
| Molina Marketplace [97] | $63 - $206 | 40% |
| Bright Health [11] | $64 - $207 | 41% |
| Other Hospital Payers [1991] | $68 - $400 | 43% |
| Workers Compensation [622] | $70 - $228 | 45% |
| Edison Health Solutions [95] | $75 - $248 | 48% |
| Healthscope [98] | $75 - $248 | 48% |
| American Continental Ins [778] | $90 - $400 | 57% |
| American Republic Life Ins [722] | $90 - $400 | 57% |
| Business Office [6000] | $90 - $400 | 57% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $90 - $400 | 57% |
| First Health [946] | $90 - $400 | 57% |
| Guarantee Trust Life Insurance [236] | $90 - $400 | 57% |
| Home Health Infusion Payer [6001] | $90 - $400 | 57% |
| Manhattan Life Ins Co [932] | $90 - $400 | 57% |
| Miscellaneous Commercial [1] | $90 - $400 | 57% |
| New Era Life Ins Co [437] | $90 - $400 | 57% |
| Non-Contracted [22] | $90 - $400 | 57% |
| Physicians Mutual [773] | $90 - $400 | 57% |
| Reference Based Pricing/Limited Plan [21] | $90 - $400 | 57% |
| State Farm Ins Co [373] | $90 - $400 | 57% |
| Sterling Investors Life [244] | $90 - $400 | 57% |
| Supermed/Med Mutual Of Ohio [539] | $90 - $400 | 57% |
| United American Ins Co [277] | $90 - $400 | 57% |