CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Tristar Northcrest Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $138
  • Cash Discount Price: $844
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Tristar Northcrest Medical Center is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $844. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.88x the Medicare baseline. Located in 100 Northcrest Drive, Springfield, TN.
Cash / Self-Pay
$844

Average discount available for prompt cash payment at this facility.

Insurance Median
$138

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: $844 (538%)
Insurance Median: $138 (88%)
Cash: $844 (538% of Medicare)
Ins. Median: $138 (88% 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
Molina $59 38%
Alive Hospice $100 64%
Amerigroup $100 64%
Devoted Health Plan $100 64%
Healthspring $100 64%
Humana $100 - $598 64%
United $100 - $380 64%
Wellcare $100 - $132 64%
Wellpoint $100 64%
Aetna $101 - $422 64%
Zing $103 66%
Blue Cross Blue Shield $104 - $107 66%
American Health Advantage $105 67%
Evergreen Hmo $105 67%
Atrio Golden Times $110 70%
Bright Health $115 73%
Prime Health $144 92%
Novanet $147 94%
Nhc Advantage, Inc. $160 102%
Cigna $247 - $405 157%
City Of Springfield $549 350%
Multiplan $658 - $692 419%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Northcrest Drive, Springfield, TN 37172
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals