Diagnostic mammogram (both breasts)
Facility: Oakleaf Surgical Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $45
- Cash Discount Price: $259
- vs. Medicare Baseline: 0.29x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $45 - $194 | 29% |
| Dean Health Plan | $45 | 29% |
| Group Health Cooperative Of Eau Claire | $45 | 29% |
| Healthpartners | $45 | 29% |
| Humana | $45 | 29% |
| Medica | $45 | 29% |
| Quartz Health Solutions | $45 | 29% |
| Security Health Plan Of Wi | $45 | 29% |
| Ucare Wi | $45 | 29% |
| UnitedHealthcare | $45 | 29% |
Consumer Guidance & Cost Commentary
Oakleaf Surgical Hospital, located at 1000 Oakleaf Way in Altoona, Wisconsin, reports a gross charge of $288 for the diagnostic mammogram procedure (CPT code 77066). The facility, owned by physicians, lists a cash median price of $259, which is notably lower than the gross charge. For patients with high-deductible plans, paying the cash price of $259 upfront could be more cost-effective than utilizing insurance, as the median negotiated rate of $45 and the median paid rate of $19 may only apply after deductibles are met. The Medicare benchmark for this service is $156.98, which serves as the federal baseline for evaluating the facility's pricing markup.
The facility has a total of 10 payers in its network, including Blue Cross Blue Shield, which shows a high rate of $194 and a low rate of $45. All other listed payers, such as Dean Health Plan, Healthpartners, and UnitedHealthcare, report a consistent low rate of $45. The vs_medicare value of 0.3 indicates the facility's pricing relationship to the Medicare standard. Patients are encouraged to verify their specific deductible status before scheduling and to explicitly request self-pay or prompt-pay discounts during registration to bypass administrative claim processing fees.