CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Medical Center Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $147
Cash Discount Price: $219
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Medical Center Hospital is $147. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $219. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.94x the Medicare baseline. Located in 500 W 4Th Street, Odessa, TX.

Cash / Self-Pay

$219

Average discount available for prompt cash payment at this facility.

Insurance Median

$147

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: $219 (140%)

Insurance Median: $147 (94%)

Cash: $219 (140% of Medicare)

Ins. Median: $147 (94% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Corvel Wc	$44 - $127	28%
Medicaid / KanCare	$47 - $49	30%
Superior Chips	$47	30%
UnitedHealthcare	$52 - $342	33%
Aetna	$102 - $226	65%
Humana	$102	65%
Novitas Solutions	$103	66%
Triwest Va Ccn	$103	66%
Care Improvement Plus	$105	67%
Ambetter / Centene	$108	69%
Geha	$108	69%
Wellcare By Allwell	$108	69%
Group Resources	$126	80%
Caprock	$137 - $164	87%
Healthsmart Preferred Care	$137 - $205	87%
Blue Cross Blue Shield	$147 - $259	94%
Health Select	$147 - $234	94%
90 Degree Benefits	$164	104%
Cigna	$169 - $173	108%
State Comptroller	$171	109%
Workers Comp	$210	134%
Texas Mutual Wc	$226	144%
Firstcare	$239	152%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $219.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medical Center Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.