CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Johnson County Community Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $111
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 0.71x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Johnson County Community Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.71x the Medicare baseline. Located in 1901 S Shady St, Mountain City, TN.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$111

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: $84 (54%)
Insurance Median: $111 (71%)
Cash: $84 (54% of Medicare)
Ins. Median: $111 (71% 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 $64 41%
Blue Cross Blue Shield $66 - $365 42%
UnitedHealthcare $66 - $365 42%
Aetna $67 - $233 43%
Molina Healthcare $67 - $110 43%
Amerigroup $106 - $170 68%
Managed Medicaire $106 68%
Medicare (plans) $106 68%
Sentara Health $106 - $124 68%
United Mine Workers Of America $106 68%
Wellcare $106 68%
Humana $108 69%
Cigna $111 - $210 71%
Devoted Health Plan $111 71%
Nhc Advantage $111 71%
Ambetter / Centene $117 75%
Medcost $128 82%
First Health Coventry $274 175%
Seven Corners, Inc. $365 233%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 S Shady St, Mountain City, TN 37683
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals