CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Blount Memorial Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $158
Cash Discount Price: $180
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Blount Memorial Hospital is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $180. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.01x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$180

Average discount available for prompt cash payment at this facility.

Insurance Median

$158

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: $180 (115%)

Insurance Median: $158 (101%)

Cash: $180 (115% of Medicare)

Ins. Median: $158 (101% 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
UnitedHealthcare	$57 - $271	36%
Medicaid / KanCare	$89 - $135	57%
Cigna	$90 - $119	57%
Blue Cross Blue Shield	$102 - $421	65%
Humana	$102	65%
Medicare (plans)	$102 - $105	65%
Mvp Health Care [3037]	$119	76%
Bob Jones Univ-Pai [821]	$134	85%
Prisma Health Seniorcare Pace - Midlands [5400]	$135	86%
Prisma Health Seniorcare Pace-Upstate [5200]	$135	86%
Tricare	$149	95%
Ambetter / Centene	$158	101%
Promise Health Plan Contracted [2401]	$204 - $349	130%
Consociate Health Contracted [4835]	$225	143%
Orangeburg Senior Helping Center Pace [5401]	$233	148%
Fairos/Occunet Contracted [4837]	$235	150%
Golden Rule Insurance Company [2991]	$271	173%
Oxford Health Plans [2992]	$271	173%
Preferred Administrators Contracted [2839]	$407	259%
Medcost [2940]	$431 - $483	275%
Atlantic Packaging Contracted [4833]	$436	278%
Aps Healthcare System [2981]	$466	297%
Multiplan/Phcs Contracted [2950]	$518	330%
Aetna	$524	334%
Meritain Health Contracted [2200]	$524	334%
Nippon [2300]	$524	334%
Vsp Vision Care [2986]	$524	334%
First Health Contracted [2952]	$541	345%
Furman Int/Allen University Student [2951]	$541	345%
Quiktrip-First Health [3067]	$541	345%

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 $180.
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 Blount Memorial Hospital 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.