CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Southeast Iowa Regional Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $109
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.69x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Southeast Iowa Regional Medical Center is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.69x the Medicare baseline. Located in 1221 South Gear Avenue, West Burlington, IA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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%)

Insurance Median: $109 (69%)

Ins. Median: $109 (69% 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
American Healthplan Of Iowa - Midlevel	$36	23%
Medicaid / KanCare	$37 - $43	24%
Aetna	$43	27%
Humana	$46	29%
American Healthplan Of Iowa - Md	$49	31%
Plain Church	$79 - $346	50%
Blue Cross Blue Shield	$86 - $223	55%
UnitedHealthcare	$91	58%
Midlands Choice	$100 - $481	64%
Absolute Solutions	$109	69%
First Agency	$109	69%
Multiplan	$109	69%
Henderson County	$115	73%
Wellpoint (Amerigroup)	$298	190%
Immugrun	$336	214%
Brighton Amish Church	$346	220%
6 Degree	$426	271%
Geha	$496	316%

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 $X.
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 Southeast Iowa Regional 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.