CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: St Lukes Regional Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $131
Cash Discount Price: $255
vs. Medicare Baseline: 0.83x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at St Lukes Regional Medical Center is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $255. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.83x the Medicare baseline. Located in 2720 Stone Park Boulevard, Sioux City, IA.

Cash / Self-Pay

$255

Average discount available for prompt cash payment at this facility.

Insurance Median

$131

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: $255 (162%)

Insurance Median: $131 (83%)

Cash: $255 (162% of Medicare)

Ins. Median: $131 (83% 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
Nebraska Total Care	$28 - $93	18%
Aetna	$44 - $159	28%
Blue Cross Blue Shield	$44 - $344	28%
Molina	$44 - $145	28%
Amerivantage	$46 - $149	29%
Humana	$46 - $149	29%
UnitedHealthcare	$46 - $206	29%
Avera Health Plan	$65 - $213	41%
Wellmark Uph Self-Funded	$86 - $293	55%
Cigna	$92 - $303	59%
Health Partners Open Network	$102 - $328	65%
Medica Exchange Inspire	$165	105%
Medica Exchange Insure	$184	117%

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 $255.
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 St Lukes 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.