CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Johnson City Medical Center

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$108

about 0.7× the $157 Medicare rate · typically $104–$154

modeled estimate · not a bill or quote

What this hospital charges insurers

$103

About the fair price

about $5 under the fair price · 0.7× Medicare

Medicare pays $157 Fair price $108 This hospital $103 Cash price $86 Hospital's list price $570

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

A typical price — 0 charge more and 5 charge less, among the 9 TN hospitals compared.

Cheapest $44 Priciest $103

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a Diagnostic mammogram (both breasts) is about $108 (about 0.7× the $157 Medicare rate). Johnson City Medical Center charges insurers about $103, or about $86 in cash — about the fair price. Located in Johnson City, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$61 - $377	39%
Blue Cross Blue Shieldmajor	$61 - $510	39%
Aetnamajor	$62 - $364	39%
Cignamajor	$105 - $210	67%
Humanamajor	$100	64%
Ambetter (Centene)	$219	140%
Amerigroup	$100 - $104	64%
Devoted Health	$105	67%
Molina	$62 - $104	39%
Sentara	$59 - $199	38%
WellCare	$106 - $570	68%
+ 4 smaller / regional plans	$100 - $570

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 86), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77066.

Insurance Before you use insurance

Call your insurance company to confirm Johnson City Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 77066.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Johnson City Medical Center

Compare: Diagnostic mammogram (both breasts) at other TN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.