CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Prosser Memorial Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $97
Cash Discount Price: $281
vs. Medicare Baseline: 0.62x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Prosser Memorial Hospital is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $281. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.62x the Medicare baseline. Located in 723 Memorial Street, Prosser, WA.

Cash / Self-Pay

$281

Average discount available for prompt cash payment at this facility.

Insurance Median

$97

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: $281 (179%)

Insurance Median: $97 (62%)

Cash: $281 (179% of Medicare)

Ins. Median: $97 (62% 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	$27 - $331	17%
Coordinated Care	$27 - $331	17%
Kaiser Permanente	$27 - $744	17%
UnitedHealthcare	$27 - $654	17%
Amerigroup	$28 - $351	18%
Molina	$28 - $331	18%
Health Alliance Northwest	$53 - $204	34%
Humana	$53 - $695	34%
Wellcare	$53 - $204	34%
Aetna	$54 - $695	34%
Cigna	$59 - $671	38%
Premera	$64 - $654	41%
Asuris	$72 - $736	46%
Health Management Adminstrators	$72 - $736	46%
Regence	$72 - $736	46%
Ambetter / Centene	$95 - $630	61%
Multiplan	$172 - $736	110%
First Choice	$695	443%

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 $281.
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 Prosser Memorial 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.