CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Arbor Health Morton Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $340
Cash Discount Price: $454
vs. Medicare Baseline: 2.17x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Arbor Health Morton Hospital is $340. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $454. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.17x the Medicare baseline. Located in 521 Adams Street, Morton, WA.

Cash / Self-Pay

$454

Average discount available for prompt cash payment at this facility.

Insurance Median

$340

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: $454 (289%)

Insurance Median: $340 (217%)

Cash: $454 (289% of Medicare)

Ins. Median: $340 (217% 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 217% of the Medicare baseline (a markup of 117%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Comm Health Healthy Options	$315	201%
Kaiser Mcaid	$315	201%
UnitedHealthcare	$315 - $586	201%
Amerigroup-All Other Plans	$334	213%
Aetna	$337 - $644	215%
Amerigroup Mcr Adv	$337	215%
Comm Health Mcr Adv	$337	215%
Healthnet Mcr Adv - All Plans	$337	215%
Humana	$337	215%
Mcr Railroad Mcr Adv - All Plans	$337	215%
Medicare (plans)	$337	215%
Premera Hmo Mcr Adv	$337	215%
Rural Health Mcare - All Plans	$337	215%
Regence Blue Shield Mcr Adv	$340	217%
Molina Mcr Adv	$354	226%
Wellcare Mcr Adv - All Plans	$354	226%
Molina Marketplace-All Other Plans	$431	275%
Regence Blue Shield Ump-All Other Plans	$512	326%
Kaiser Comm-All Other Plans	$574	366%
Molina Mcaid	$608	387%
Comm Health Basic Sub - All Other Plans	$622	396%
Comm Health Pebb	$622	396%
Premera First-All Other Plans	$659	420%
Cigna	$681	434%
First Choice-All Plans	$681	434%

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 $454.
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 Arbor Health Morton 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.