CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Sartori Memorial Hospital, Inc

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $247
  • Cash Discount Price: $490
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Sartori Memorial Hospital, Inc is $247. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $490. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.57x the Medicare baseline. Located in 515 College Street, Cedar Falls, IA.
Cash / Self-Pay
$490

Average discount available for prompt cash payment at this facility.

Insurance Median
$247

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: $490 (312%)
Insurance Median: $247 (157%)
Cash: $490 (312% of Medicare)
Ins. Median: $247 (157% 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
Aetna $99 - $608 63%
Medicare (plans) $99 - $103 63%
Blue Cross Blue Shield $100 64%
UnitedHealthcare $101 - $754 64%
Amish Hospital Aid $134 85%
Iowa Dept Of Public Health $142 90%
Iowa Total Care $144 92%
Medicaid / KanCare $145 - $146 92%
Oscar $155 99%
Centivo $167 106%
Ambetter / Centene $169 108%
Health Choices $177 113%
Medical Associates $177 113%
Claimdoc $203 129%
Nova $203 129%
Health Partners $247 157%
Geha $255 162%
Auxiant $535 341%
Cigna $535 341%
Medica $535 341%
Midlands $535 341%
Midlands Choice $535 341%
Allied Benefit Systems $608 387%
Asr Health Benefits $608 387%
Coventry $608 387%
First Health $608 387%
Lucent Health $608 387%
Luminare Health $608 387%
Medical Mutual $608 387%
Meritain $608 387%
Webtpa $608 387%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 515 College Street, Cedar Falls, IA 50613
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals