CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Othello Community Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $406
  • Cash Discount Price: $397
  • vs. Medicare Baseline: 2.59x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Othello Community Hospital is $406. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $397. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.59x the Medicare baseline. Located in 315 North 14Th Avenue, Othello, WA.
Cash / Self-Pay
$397

Average discount available for prompt cash payment at this facility.

Insurance Median
$406

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: $397 (253%)
Insurance Median: $406 (259%)
Cash: $397 (253% of Medicare)
Ins. Median: $406 (259% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 259% of the Medicare baseline (a markup of 159%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Ambetter / Centene $216 - $236 138%
Amerigroup Mcaid $216 - $234 138%
Chp Mcaid $216 - $234 138%
Cocare - All Plans $216 - $234 138%
Gau - All Plans $216 - $234 138%
Kaiser - All Plans $216 - $234 138%
Molina Mcaid $216 - $234 138%
UnitedHealthcare $216 - $550 138%
Chp - All Other Plans $218 - $236 139%
Molina - All Other Plans $218 - $236 139%
Medicare (plans) $254 - $275 162%
Tricare $330 - $357 210%
Triwest - All Plans $330 - $357 210%
Asuris - All Plans $406 - $440 259%
Commercial Other - All Plans $406 - $440 259%
Hma - All Plans $406 - $440 259%
Hmso - All Plans $406 - $440 259%
Tpsc - All Plans $406 - $440 259%
Travelers - All Plans $406 - $440 259%
Veterans Admin - All Plans $406 - $440 259%
Blue Cross Blue Shield $427 - $462 272%
Cigna $452 - $489 288%
First Choice - All Plans $457 - $495 291%
Aetna $478 - $517 304%
Chp Mcr Adv $508 - $550 324%
Health Alliance Mcr Adv - All Plans $508 - $550 324%
Humana $508 - $550 324%
Molina Mcare $508 - $550 324%
Wellcare Mcr Adv - All Plans $508 - $550 324%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 North 14Th Avenue, Othello, WA 99344
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals