CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Astria Sunnyside Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $393
Cash Discount Price: $801
vs. Medicare Baseline: 2.50x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Astria Sunnyside Hospital is $393. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $801. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.50x the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.

Cash / Self-Pay

$801

Average discount available for prompt cash payment at this facility.

Insurance Median

$393

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: $801 (510%)

Insurance Median: $393 (250%)

Cash: $801 (510% of Medicare)

Ins. Median: $393 (250% 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 250% of the Medicare baseline (a markup of 150%). 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
Bcchp	$138	88%
Medicare (plans)	$188 - $355	120%
Medicaid / KanCare	$268 - $431	171%
Aetna	$345 - $1,236	220%
Healthcomp_Ihs	$345	220%
Humana	$345 - $1,264	220%
Molina	$345	220%
Va	$345	220%
Tricare	$348	222%
Regence	$722	460%
Cigna	$843	537%
Li	$863	550%
First_Choice	$1,054	671%
Tpsc	$1,096	698%
Kaiser	$1,103	703%
Premera	$1,144	729%
UnitedHealthcare	$1,194	761%
Fhpw	$1,236	787%
Healthcomp	$1,264	805%
Great_Rivers	$1,405	895%
Zenith	$1,405	895%

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 $801.
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 Astria Sunnyside 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.