CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Allendale County Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $52
  • Cash Discount Price: $149
  • vs. Medicare Baseline: 0.33x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Allendale County Hospital is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $149. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.33x the Medicare baseline. Located in 1787 Allendale Fairfax Rd, Fairfax, SC.
Cash / Self-Pay
$149

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%)
Cash / Self-Pay: $149 (95%)
Insurance Median: $52 (33%)
Cash: $149 (95% of Medicare)
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.

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 $99 63%
Devoted_Health_Plan $99 63%
Emblem_Health_Plan $99 63%
Eon_Health_Plan $99 63%
Freedom_Health_Plan $99 63%
Healthsun_Health_Plan_Plan $99 63%
Humana $99 63%
Medicare (plans) $99 63%
Pruitt_Health_Premier_Plan $99 63%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1787 Allendale Fairfax Rd, Fairfax, SC 29827
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals