CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Johnston Memorial Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $109
Cash Discount Price: $86
vs. Medicare Baseline: 0.69x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Johnston Memorial Hospital is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.69x the Medicare baseline. Located in 16000 Johnston Memorial Drive, Abingdon, VA.

Cash / Self-Pay

$86

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $86 (55%)

Insurance Median: $109 (69%)

Cash: $86 (55% of Medicare)

Ins. Median: $109 (69% 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
Optima Health	$60	38%
UnitedHealthcare	$60 - $377	38%
Blue Cross Blue Shield	$61 - $399	39%
Molina Healthcare	$62 - $113	39%
Aetna	$63 - $364	40%
Humana	$108	69%
Managed Medicaire	$108	69%
Medicare (plans)	$108	69%
Mountain Empire Pace	$108	69%
Sentara Health	$108 - $191	69%
United Mine Workers Of America	$108	69%
Amerigroup	$113	72%
Cigna	$114 - $210	73%
Devoted Health Plan	$114	73%
Nhc Advantage	$114	73%
Wellcare	$115	73%
Medcost	$200	127%
Ambetter / Centene	$237	151%
First Health Coventry	$570	363%
Seven Corners, Inc.	$570	363%

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 $86.
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 Johnston Memorial Hospital 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.