CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Charleston Area Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $326
Cash Discount Price: $496
vs. Medicare Baseline: 2.08x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Charleston Area Medical Center is $326. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $496. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.08x the Medicare baseline. Located in 501 Morris Street, Charleston, WV.

Cash / Self-Pay

$496

Average discount available for prompt cash payment at this facility.

Insurance Median

$326

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: $496 (316%)

Insurance Median: $326 (208%)

Cash: $496 (316% of Medicare)

Ins. Median: $326 (208% 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 208% of the Medicare baseline (a markup of 108%). 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
Aetna	$80 - $522	51%
The Health Plan Of West Virginia Inc.	$80 - $517	51%
Unicare Health Plan Of West Virginia Inc.	$80	51%
Triwest Va	$111 - $129	71%
Blue Cross Blue Shield	$115 - $486	73%
Choicecare Network	$115 - $522	73%
UnitedHealthcare	$118 - $522	75%
West Virginia Senior Advantage Inc.	$120 - $140	76%
Optimum Choice Inc.	$129	82%
Breast & Cervical Cancer Screening Program	$148	94%
Integrated Medical Solutions	$224 - $260	143%
Naphcare	$230 - $266	147%
Tricare	$275 - $320	175%
Caresource	$287 - $333	183%
City Of Charleston	$344 - $400	219%
Cigna	$427 - $496	272%
Three Rivers Providers Network	$445 - $517	283%
Healthsmart	$450 - $522	287%
Multiplan	$450 - $522	287%

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 $496.
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 Charleston Area Medical Center 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.