CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Wellmont Holston Valley Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $105
  • Cash Discount Price: $86
  • vs. Medicare Baseline: 0.67x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Wellmont Holston Valley Medical Center is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.67x the Medicare baseline. Located in 130 West Ravine Road, Kingsport, TN.
Cash / Self-Pay
$86

Average discount available for prompt cash payment at this facility.

Insurance Median
$105

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: $86 (55%)
Insurance Median: $105 (67%)
Cash: $86 (55% of Medicare)
Ins. Median: $105 (67% 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
UnitedHealthcare $59 - $502 38%
Blue Cross Blue Shield $60 - $399 38%
Optima Health $60 38%
Aetna $61 - $243 39%
Molina Healthcare $62 - $105 39%
Amerigroup $93 - $104 59%
Humana $100 64%
Managed Medicaire $100 64%
Medicare (plans) $100 64%
Sentara Health $100 - $147 64%
United Mine Workers Of America $100 64%
Cigna $105 - $238 67%
Devoted Health Plan $105 67%
Mountain Empire Pace $105 67%
Nhc Advantage $105 67%
Wellcare $106 - $570 68%
Ambetter / Centene $219 140%
Seven Corners, Inc. $241 154%
Medcost $271 173%
First Health Coventry $439 280%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 West Ravine Road, Kingsport, TN 37662
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals