CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: University of Iowa Hospital & Clinics

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $288
Cash Discount Price: $396
vs. Medicare Baseline: 1.83x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at University of Iowa Hospital & Clinics is $288. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $396. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.83x the Medicare baseline. Located in 200 Hawkins Drive, Iowa City, IA.

Cash / Self-Pay

$396

Average discount available for prompt cash payment at this facility.

Insurance Median

$288

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: $396 (252%)

Insurance Median: $288 (183%)

Cash: $396 (252% of Medicare)

Ins. Median: $288 (183% 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
Immergrun	$35 - $142	22%
Medical Associates	$87 - $349	55%
Oscar Health	$89 - $357	57%
Aetna	$99 - $436	63%
Great River Health Systems	$99 - $396	63%
Healthpartners	$106 - $481	68%
Quad City Community Healthcare	$106 - $424	68%
Sedgwick	$113 - $453	72%
Global Excel	$120 - $481	76%
Sanford Health Plan	$120 - $481	76%
Employee Benefit Systems	$124 - $509	79%
Sisco	$124 - $498	79%
Healthsmart	$127 - $509	81%
Hfn	$130 - $521	83%
Multiplan	$130 - $521	83%
Wellpoint (Amerigroup)	$141 - $149	90%
Iowa Total Care	$142 - $148	90%
Molina Healthcare	$142 - $144	90%
UnitedHealthcare	$142 - $726	90%
Blue Cross Blue Shield	$145 - $344	92%
American Health Plan	$149 - $283	95%
Midlands Choice	$297 - $601	189%
Aplos Health Plan	$366 - $453	233%

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 $396.
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 University of Iowa Hospital & Clinics 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.