CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: University Health System, Inc

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $219
Cash Discount Price: $131
vs. Medicare Baseline: 1.40x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at University Health System, Inc is $219. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $131. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.40x the Medicare baseline. Located in 1924 Alcoa Highway, Knoxville, TN.

Cash / Self-Pay

$131

Average discount available for prompt cash payment at this facility.

Insurance Median

$219

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: $131 (83%)

Insurance Median: $219 (140%)

Cash: $131 (83% of Medicare)

Ins. Median: $219 (140% 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
Wellpoint	$106 - $149	68%
UnitedHealthcare	$112 - $368	71%
Blue Cross Blue Shield	$115 - $336	73%
Cigna	$140 - $398	89%
Humana	$140	89%
Aetna	$146 - $368	93%
Devoted Health	$146	93%
Wellcare-Windsor Medadv	$147	94%
American Health	$149	95%
Medicare (plans)	$149 - $150	95%
Nhc	$149	95%
Fentress County Sheriffs Dept	$210	134%
Multiplan	$315	201%
Nx Health	$315	201%
Phcs	$315	201%
Naphcare	$341	217%
Coventry	$368	234%
Beechstreet	$394	251%
Prime Health	$394 - $525	251%
Seven Corners	$394	251%
Usa	$420	268%
Evolutions	$472	301%
Galaxy	$472	301%
Healthsmart	$472	301%

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 $131.
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 University Health System, Inc 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.