CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Holy Cross Hospital-Davis

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $391
  • Cash Discount Price: $299
  • vs. Medicare Baseline: 2.49x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Holy Cross Hospital-Davis is $391. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $299. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.49x the Medicare baseline. Located in 1600 West Antelope Drive, Layton, UT.
Cash / Self-Pay
$299

Average discount available for prompt cash payment at this facility.

Insurance Median
$391

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: $299 (190%)
Insurance Median: $391 (249%)
Cash: $299 (190% of Medicare)
Ins. Median: $391 (249% 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 249% of the Medicare baseline (a markup of 149%). 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
Select Health $57 - $367 36%
Medicaid / KanCare $86 55%
Uuhp $86 - $405 55%
Humana $99 63%
Medicare (plans) $99 63%
Blue Cross Blue Shield $100 - $448 64%
Cigna $111 - $597 71%
Centura Employee Plan $122 78%
Employer Direct Healthcare $124 79%
Motivhealth $131 83%
Molina $232 - $321 148%
Pehp $319 - $433 203%
Aetna $330 - $631 210%
Wise $388 - $396 247%
Deseret Mutual Benefit Administrators $459 292%
Multiplan $515 - $680 328%
UnitedHealthcare $541 - $747 345%
Emi Health $650 414%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 West Antelope Drive, Layton, UT 84041
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals