CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Reston Hospital Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $329
Cash Discount Price: $1,316
vs. Medicare Baseline: 2.10x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Reston Hospital Center is $329. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,316. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.10x the Medicare baseline. Located in 1850 Town Center Parkway, Reston, VA.

Cash / Self-Pay

$1,316

Average discount available for prompt cash payment at this facility.

Insurance Median

$329

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: $1,316 (838%)

Insurance Median: $329 (210%)

Cash: $1,316 (838% of Medicare)

Ins. Median: $329 (210% 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 210% of the Medicare baseline (a markup of 110%). 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
Humana	$125 - $130	80%
Johns Hopkins	$129	82%
Devoted	$130	83%
Sentara Health	$130	83%
United	$130 - $592	83%
Aetna	$132	84%
Virginia Premier Health	$133	85%
Blue Cross Blue Shield	$134 - $668	85%
Cigna	$135 - $676	86%
Davita Village Health	$135	86%
Clear Spring Health Plan	$137	87%
Align Senior Care	$139	89%
Pyramid Life	$139	89%
Lifeworks	$250	159%
Universal Healthcare Group	$289	184%
Carefirst	$479	305%
Greenvbrier Sporting Club	$789	503%
Virginia Health Network	$934	595%
Corvel	$947	603%
Occunet Workers Comp	$1,053	671%
4Most Health Network	$1,184	754%

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 $1,316.
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 Reston Hospital 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.