CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Ward Memorial Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $438
  • Cash Discount Price: $438
  • vs. Medicare Baseline: 2.79x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Ward Memorial Hospital is $438. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $438. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.79x the Medicare baseline. Located in 406 South Gary St, Monahans, TX.
Cash / Self-Pay
$438

Average discount available for prompt cash payment at this facility.

Insurance Median
$438

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: $438 (279%)
Insurance Median: $438 (279%)
Cash: $438 (279% of Medicare)
Ins. Median: $438 (279% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 279% of the Medicare baseline (a markup of 179%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $119 - $438 76%
Firstcare $119 - $121 76%
Medicare (plans) $119 76%
Superior Healthplan $119 76%
Cigna $365 233%
Corecare $438 279%
Texas True Choice $469 299%
Unicare $500 319%
Galaxy Health Network $563 359%
Multiplan $563 359%
Usa Health Network $563 359%
Usc Health Services $563 359%
Aetna $619 394%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 406 South Gary St, Monahans, TX 79756
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals