CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Dickenson Community Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $111
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 0.71x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Dickenson Community Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.71x the Medicare baseline. Located in 312 Hospital Drive, Clintwood, VA.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$111

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: $84 (54%)
Insurance Median: $111 (71%)
Cash: $84 (54% of Medicare)
Ins. Median: $111 (71% 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.

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 $85 54%
UnitedHealthcare $85 - $365 54%
Blue Cross Blue Shield $88 - $256 56%
Aetna $89 - $292 57%
Molina Healthcare $89 - $114 57%
Amerigroup $110 70%
Managed Medicaire $110 70%
Medicare (plans) $110 70%
Sentara Health $110 - $135 70%
United Mine Workers Of America $110 70%
Humana $111 71%
Cigna $115 - $210 73%
Devoted Health Plan $115 73%
Nhc Advantage $115 73%
Medcost $128 82%
Ambetter / Centene $135 86%
Seven Corners, Inc. $365 233%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 312 Hospital Drive, Clintwood, VA 24228
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals