CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Johnson City Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $104
  • Cash Discount Price: $86
  • vs. Medicare Baseline: 0.66x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Johnson City Medical Center is $104. 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 0.66x the Medicare baseline. Located in 400 N State of Franklin Rd, Johnson City, TN.
Cash / Self-Pay
$86

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $104 (66%)
Cash: $86 (55% of Medicare)
Ins. Median: $104 (66% 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
Optima Health $59 38%
Blue Cross Blue Shield $61 - $510 39%
UnitedHealthcare $61 - $377 39%
Aetna $62 - $364 39%
Molina Healthcare $62 - $104 39%
Amerigroup $100 - $104 64%
Humana $100 64%
Managed Medicaire $100 64%
Medicare (plans) $100 64%
Mountain Empire Pace $100 64%
Sentara Health $100 - $199 64%
United Mine Workers Of America $100 64%
Cigna $105 - $210 67%
Devoted Health Plan $105 67%
Nhc Advantage $105 67%
Wellcare $106 - $570 68%
Medcost $200 127%
Ambetter / Centene $219 140%
First Health Coventry $428 273%
Seven Corners, Inc. $570 363%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N State of Franklin Rd, Johnson City, TN 37604
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals