CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Tristar Horizon Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $166
Cash Discount Price: $1,185
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Tristar Horizon Medical Center is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,185. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.06x the Medicare baseline. Located in 111 Highway 70 East, Dickson, TN.

Cash / Self-Pay

$1,185

Average discount available for prompt cash payment at this facility.

Insurance Median

$166

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: $1,185 (755%)

Insurance Median: $166 (106%)

Cash: $1,185 (755% of Medicare)

Ins. Median: $166 (106% 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	$90	57%
Amerigroup	$100	64%
Devoted Health Plan	$100	64%
Healthspring	$100	64%
Humana	$100 - $598	64%
Sarah Cannon Research	$100	64%
United	$100 - $533	64%
Aetna	$101 - $593	64%
Blue Cross Blue Shield	$103 - $236	66%
Wellcare	$103	66%
Zing	$103	66%
American Health Advantage	$105	67%
Evergreen Hmo	$105	67%
Signature Advantage	$106	68%
Atrio Golden Times	$110	70%
Bright Health	$115	73%
Prime Health	$144	92%
Corvel Corporation	$147	94%
Novanet	$147	94%
Kentucky Labor Cabinet	$218	139%
Apex Health	$225	143%
Nhc Advantage, Inc.	$225	143%
Pruitt Health (Allyalign)	$225	143%
Cigna	$356 - $948	227%
Bgfh Singlesource	$593 - $1,008	378%
Employers Health Network	$830	529%
Odom'S Tn Pride Sausage	$889	566%
Multiplan	$1,067	680%
Beech Street	$1,091	695%

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 $1,185.
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 Tristar Horizon Medical Center 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.