CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Trios Health

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $149
  • Cash Discount Price: $260
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Trios Health is $149. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $260. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.95x the Medicare baseline. Located in 3780 Plaza Way, Kennewick, WA.
Cash / Self-Pay
$260

Average discount available for prompt cash payment at this facility.

Insurance Median
$149

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: $260 (166%)
Insurance Median: $149 (95%)
Cash: $260 (166% of Medicare)
Ins. Median: $149 (95% 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
Molina Healthcare Of Washington $34 22%
Coordinated Care Of Washington Inc $35 22%
Wellpoint Washington, Inc. $35 22%
Aetna $113 - $809 72%
UnitedHealthcare $113 - $220 72%
Veteran Family Member Program $116 74%
Humana $122 78%
Blue Cross Blue Shield $143 91%
Asuris Northwest Health $154 98%
Community Health Plan Of Washington $180 115%
Cigna $405 - $434 258%
Ods Health Plan Inc $553 352%
Meritain Health $651 415%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3780 Plaza Way, Kennewick, WA 99338
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals