CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Holy Cross Hospital-Jordan Valley

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $380
Cash Discount Price: $299
vs. Medicare Baseline: 2.42x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Holy Cross Hospital-Jordan Valley is $380. 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 2.42x the Medicare baseline. Located in 3580 West 9000 South, West Jordan, UT.

Cash / Self-Pay

$299

Average discount available for prompt cash payment at this facility.

Insurance Median

$380

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: $380 (242%)

Cash: $299 (190% of Medicare)

Ins. Median: $380 (242% 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 242% of the Medicare baseline (a markup of 142%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$86 - $631	55%
Colorado Access	$86	55%
Denver Health	$86	55%
Health Choice	$86	55%
Molina	$86 - $321	55%
Rocky Mountain Health Plan	$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%
UnitedHealthcare	$193 - $747	123%
Pehp	$319 - $747	203%
Wise	$388 - $396	247%
Deseret Mutual Benefit Administrators	$459	292%
Select Health	$494	315%
Multiplan	$515 - $680	328%
Emi Health	$747	476%

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 $299.
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 Holy Cross Hospital-Jordan Valley 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.