CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Iowa Specialty Hospital - Clarion

Billing Code: 77066 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$126

about 0.8× the $157 Medicare rate · typically $84–$408

modeled estimate · not a bill or quote

What this hospital charges insurers

$110

Below the fair price — a good deal

about $16 under the fair price · 0.7× Medicare

Medicare pays $157 Fair price $126 This hospital $110 Cash price $175 Hospital's list price $292

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Highest price of the 9 IA hospitals we have prices for — worth calling around.

Cheapest $44 Priciest $110

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

A fair price for a Diagnostic mammogram (both breasts) is about $126 (about 0.8× the $157 Medicare rate). Iowa Specialty Hospital - Clarion charges insurers about $110, or about $175 in cash — below the fair price — a good deal. Located in Clarion, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$115 - $698	73%
Blue Cross Blue Shieldmajor	$94 - $208	60%
Aetnamajor	$49 - $625	31%
Cignamajor	$347 - $713	221%
HealthPartners	$62 - $588	39%
+ 2 smaller / regional plans	$73 - $478

Government programs also on file: Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 175), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77066.

Insurance Before you use insurance

Call your insurance company to confirm Iowa Specialty Hospital - Clarion is in-network.
Ask your insurer whether prior approval is required for CPT code 77066.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Iowa Specialty Hospital - Clarion

Compare: Diagnostic mammogram (both breasts) at other IA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.