CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Intermountain Health Alta View Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $390
  • Cash Discount Price: $690
  • vs. Medicare Baseline: 2.48x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Intermountain Health Alta View Hospital is $390. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $690. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.48x the Medicare baseline. Located in 9660 South 1300 East, Sandy, UT.
Cash / Self-Pay
$690

Average discount available for prompt cash payment at this facility.

Insurance Median
$390

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: $690 (440%)
Insurance Median: $390 (248%)
Cash: $690 (440% of Medicare)
Ins. Median: $390 (248% 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 248% of the Medicare baseline (a markup of 148%). 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
Donor Connect $27 - $245 17%
Aetna $46 - $781 29%
American Health $46 - $155 29%
Blue Cross Blue Shield $46 - $699 29%
Health Partners Of Nevada $46 - $149 29%
Humana $46 - $157 29%
Molina $46 - $164 29%
Selecthealth $46 - $465 29%
UnitedHealthcare $46 - $781 29%
Triwest $104 66%
Health Plan Of Nevada $146 - $276 93%
Healthy U $146 93%
Ut Cancer Control $150 96%
Awh Connected $339 - $593 216%
Byu Athletics $339 - $662 216%
Campbell Scientific $339 - $662 216%
Deseret Mutual $339 - $529 216%
Emi $339 - $638 216%
Emi Health $339 - $638 216%
Franklin County $339 - $662 216%
Ifit $339 - $662 216%
Intermountain Caregiver Plan $339 - $443 216%
Juniper Systems $339 - $662 216%
Lw Miller $339 - $662 216%
Pehp $339 - $818 216%
Tanner Llc $339 - $662 216%
Utah Tech $339 - $662 216%
Cigna $579 - $781 369%
Byu Risk Management $644 - $671 410%
Corporation Of The President $644 - $671 410%
Wcf Insurance $644 - $671 410%
Corvel Corporation $662 422%
Injury Care Of Nevada $690 440%
Managed Care Admin $717 457%
Prodegi Corp Benefit $754 480%
Uofu $754 480%
Springtide $763 486%
Global Excel $781 498%
Medcare International $781 498%
Motivhealth $781 498%
Wise Network $781 498%
Hygeia Corporation $827 527%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9660 South 1300 East, Sandy, UT 84094
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals