CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Methodist Jennie Edmundson

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $200
Cash Discount Price: $100
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Methodist Jennie Edmundson is $200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.27x the Medicare baseline. Located in 933 East Pierce Street, Council Bluffs, IA.

Cash / Self-Pay

$100

Average discount available for prompt cash payment at this facility.

Insurance Median

$200

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: $100 (64%)

Insurance Median: $200 (127%)

Cash: $100 (64% of Medicare)

Ins. Median: $200 (127% 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.

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	$97 - $206	62%
Blue Cross Blue Shield	$97 - $301	62%
Humana	$97	62%
Medica	$97 - $150	62%
Medicare (plans)	$97 - $167	62%
UnitedHealthcare	$97 - $242	62%
Ne Furniture Mart	$154 - $200	98%
Medica Choice	$167	106%
Wellmark	$170 - $188	108%
Elite Choice - Mje	$201 - $277	128%
Ambetter / Centene	$204 - $302	130%
Midlands Choice	$234 - $334	149%

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 $100.
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 Methodist Jennie Edmundson 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.