CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Carilion Tazewell Community Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $515
Cash Discount Price: $287
vs. Medicare Baseline: 3.28x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Carilion Tazewell Community Hospital is $515. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $287. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 3.28x the Medicare baseline. Located in 388 Ben Bolt Avenue, Tazewell, VA.

Cash / Self-Pay

$287

Average discount available for prompt cash payment at this facility.

Insurance Median

$515

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: $287 (183%)

Insurance Median: $515 (328%)

Cash: $287 (183% of Medicare)

Ins. Median: $515 (328% 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 328% of the Medicare baseline (a markup of 228%). 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
Corvel	$145	92%
Blue Cross Blue Shield	$160	102%
Sentara Health Plan	$163 - $508	104%
Abh Of Va (Formerly Coventry)	$168	107%
Abh Of Wva (Formerly Coventry)	$168	107%
Humana	$168	107%
UnitedHealthcare	$168 - $670	107%
Aetna	$417 - $544	266%
Gateway - Tier 3	$451	287%
Vhn - Ultra	$508	324%
Cigna	$521 - $555	332%
Connecticare	$574	366%
Vhn - Plus	$631	402%
Gateway - Tier 2	$656	418%
Vhn	$656	418%
Integrated Health Plan	$697	444%
Vhn - Link	$738	470%
Gateway - Tier 1	$779	496%
Vhn - Secondary Payors	$779	496%
National Provider Network	$787	501%

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 $287.
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 Tazewell Community 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.