CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Jefferson Healthcare

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $208
  • Cash Discount Price: $319
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Jefferson Healthcare is $208. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $319. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.33x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.
Cash / Self-Pay
$319

Average discount available for prompt cash payment at this facility.

Insurance Median
$208

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: $319 (203%)
Insurance Median: $208 (133%)
Cash: $319 (203% of Medicare)
Ins. Median: $208 (133% 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.

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
Tricare $47 - $228 30%
Chpw Mcr Adv $51 - $246 32%
Aetna $54 - $587 34%
Medicare (plans) $54 - $233 34%
Molina Mcr Adv $54 - $228 34%
Molina Marketplace-All Other Plans $59 - $285 38%
Chpw Commercial-All Other Plans $70 - $554 45%
Coord Care Comm/Exchge-All Other Plans $75 - $587 48%
Chpw Mcaid $98 - $204 62%
Molina Mcaid $98 - $208 62%
Amerigroup Mcaid-All Plans $101 - $214 64%
Regence-All Other Plans $109 - $489 69%
Premera-All Plans $124 - $554 79%
Cigna $131 - $587 83%
Coord Care Mcaid Ip/Op Only $218 139%
UnitedHealthcare $365 233%
Coord Care Cascade Ip/Op Only $587 374%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 834 Sheridan Street, Port Townsend, WA 98368
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals