CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Physicians Regional Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $181
  • Cash Discount Price: $215
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Physicians Regional Medical Center is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $215. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.15x the Medicare baseline. Located in 7565 Dannaher Way Powell, Powell, TN.
Cash / Self-Pay
$215

Average discount available for prompt cash payment at this facility.

Insurance Median
$181

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: $215 (137%)
Insurance Median: $181 (115%)
Cash: $215 (137% of Medicare)
Ins. Median: $181 (115% 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
Medicaid / KanCare $45 29%
UnitedHealthcare $45 - $1,203 29%
Tricare $92 59%
Amerigroup $96 - $104 61%
Amerigroup Community Care $96 61%
Department Of Veterans Affairs $97 62%
Tennessee Breast And Cervical Program $97 62%
Tennessee Breast And Cervical Screening Program $97 62%
Veterans Eval Services $97 62%
Humana $99 63%
Medicare (plans) $99 63%
Node Bluecare Plus Tn Mcr Adv $99 - $100 63%
Node Hospice Non Par Agree $100 64%
Node Va $100 64%
Node Devoted Health Mcr Adv $101 64%
Node Farm Bureau Mcr Adv $101 64%
Aetna $102 - $597 65%
Blue Cross Blue Shield $102 - $339 65%
Node Healthspring Mcr Adv $102 65%
Wellcare $104 66%
Node Nhc Mcr Adv $109 69%
Novanet Work Comp Tn $144 92%
Occunet Work Comp Tn $145 92%
Tn Work Comp $145 92%
Ambetter / Centene $185 118%
Node Point Comfort Underwriters $185 118%
Self Pay $190 - $272 121%
Cigna $236 150%
Node Us Dept Of Labor $244 155%
Us Department Of Labor $244 155%
Multiplan $471 - $854 300%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7565 Dannaher Way Powell, Powell, TN 37849
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals