CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Carilion New River Valley Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $168
Cash Discount Price: $164
vs. Medicare Baseline: 1.07x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Carilion New River Valley Medical Center is $168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.07x the Medicare baseline. Located in 2900 Lamb Circle, Christiansburg, VA.

Cash / Self-Pay

$164

Average discount available for prompt cash payment at this facility.

Insurance Median

$168

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: $164 (104%)

Insurance Median: $168 (107%)

Cash: $164 (104% of Medicare)

Ins. Median: $168 (107% 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
UnitedHealthcare	$59 - $670	38%
Aetna	$60 - $544	38%
Gateway - Tier 3	$65 - $451	41%
Sentara Health Plan	$73 - $508	47%
Vhn - Ultra	$73 - $508	47%
Cigna	$79 - $590	50%
Connecticare	$82 - $574	52%
Vhn - Plus	$91 - $631	58%
Gateway - Tier 2	$94 - $656	60%
Vhn	$94 - $656	60%
Vhn - Link	$106 - $738	68%
Gateway - Tier 1	$112 - $779	71%
Vhn - Secondary Payors	$112 - $779	71%
Blue Cross Blue Shield	$160	102%
Abh Of Va (Formerly Coventry)	$168	107%
Abh Of Wva (Formerly Coventry)	$168	107%
Humana	$168	107%

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 $164.
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 Carilion New River Valley Medical Center 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.