CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Multicare Good Samaritan Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $196
Cash Discount Price: $360
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Multicare Good Samaritan Hospital is $196. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $360. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.25x the Medicare baseline. Located in 401 15Th Avenue Se, Puyallup, WA.

Cash / Self-Pay

$360

Average discount available for prompt cash payment at this facility.

Insurance Median

$196

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: $360 (229%)

Insurance Median: $196 (125%)

Cash: $360 (229% of Medicare)

Ins. Median: $196 (125% 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.

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
Molina	$36 - $239	23%
Community Health Plan Of Washington	$39 - $218	25%
Coordinated Care	$39	25%
UnitedHealthcare	$39 - $134	25%
Wellpoint	$39	25%
Aetna	$133 - $404	85%
Regence	$133	85%
Wellcare	$136	87%
First Choice	$149 - $271	95%
Premera	$186 - $251	118%
Ambetter / Centene	$259	165%
Pacificsource	$280 - $405	178%
First Health	$585 - $731	373%
Multiplan/Phcs	$585 - $731	373%
Kaiser	$863	550%

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 $360.
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 Multicare Good Samaritan 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.