CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Lewisgale Hospital Alleghany

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $381
Cash Discount Price: $1,043
vs. Medicare Baseline: 2.43x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Lewisgale Hospital Alleghany is $381. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,043. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.43x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.

Cash / Self-Pay

$1,043

Average discount available for prompt cash payment at this facility.

Insurance Median

$381

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: $1,043 (664%)

Insurance Median: $381 (243%)

Cash: $1,043 (664% of Medicare)

Ins. Median: $381 (243% 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 243% of the Medicare baseline (a markup of 143%). 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
Triatlantic	$91	58%
Health Net	$96	61%
Humana	$103 - $108	66%
Good Samaritan Hospice	$108	69%
United Behavioral Health	$108	69%
Devoted	$108	69%
United Mine Workers	$108	69%
Sentara Health	$108	69%
Aetna	$108 - $563	69%
United	$108 - $469	69%
Virginia Premier Health	$111	71%
Blue Cross Blue Shield	$112 - $929	71%
Cigna	$113	72%
Clear Spring Health Plan	$114	73%
Align Senior Care	$116	74%
Lifeworks	$198	126%
Universal Healthcare Group	$229	146%
Virginia Health Network	$365 - $741	233%
Greenvbrier Sporting Club	$626	399%
Corvel	$751	478%
Occunet Workers Comp	$834	531%
Csx Hotels	$834	531%
Health Payors Organization	$887	565%
Multiplan	$939	598%
4Most	$939	598%
Alleghany Highland Community	$939	598%
C&O Employees Hospital Assn	$939	598%
American Postal Workers Union	$939	598%
One Health Plan	$939	598%
Community Care Network	$939	598%

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 $1,043.
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 Lewisgale Hospital Alleghany 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.