CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Tristar Stonecrest Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $145
  • Cash Discount Price: $762
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Tristar Stonecrest Medical Center is $145. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $762. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.92x the Medicare baseline. Located in 200 Stonecrest Boulevard, Smyrna, TN.
Cash / Self-Pay
$762

Average discount available for prompt cash payment at this facility.

Insurance Median
$145

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: $762 (485%)
Insurance Median: $145 (92%)
Cash: $762 (485% of Medicare)
Ins. Median: $145 (92% 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
Wellpoint $90 57%
Amerigroup $100 64%
Devoted Health Plan $100 64%
Healthspring $100 64%
Humana $100 - $598 64%
Odyssey Healthcare $100 64%
Sarah Cannon Research $100 64%
United $100 - $343 64%
Aetna $101 - $381 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%
Kentucky Labor Cabinet $140 89%
Prime Health $144 92%
Apex Health $145 92%
Nhc Advantage, Inc. $145 92%
Pruitt Health (Allyalign) $145 92%
Corvel Corporation $147 94%
Novanet $147 94%
Cigna $248 - $405 158%
Bgfh Singlesource $381 - $647 243%
Employers Health Network $533 340%
Odom'S Tn Pride Sausage $571 364%
Multiplan $685 436%
Beech Street $701 447%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Stonecrest Boulevard, Smyrna, TN 37167
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals