CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Capital Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $186
Cash Discount Price: $421
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Capital Medical Center is $186. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $421. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.18x the Medicare baseline. Located in 3900 Capital Mall Dr Sw, Olympia, WA.

Cash / Self-Pay

$421

Average discount available for prompt cash payment at this facility.

Insurance Median

$186

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: $421 (268%)

Insurance Median: $186 (118%)

Cash: $421 (268% of Medicare)

Ins. Median: $186 (118% 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
Community Health Plan Of Washington	$38 - $186	24%
Coordinated Care	$39	25%
Molina	$39 - $204	25%
UnitedHealthcare	$39 - $115	25%
Wellpoint	$56	36%
Regence	$111	71%
Aetna	$114 - $874	73%
Wellcare	$116	74%
First Choice	$171 - $271	109%
Premera	$186 - $211	118%
Ambetter / Centene	$204	130%
Pacificsource	$369 - $532	235%
Multiplan/Phcs	$769 - $842	490%
Kaiser	$863	550%
First Health	$895	570%

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 $421.
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 Capital Medical Center 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.