CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Madison County Health Care System

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $243
  • Cash Discount Price: $248
  • vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Madison County Health Care System is $243. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $248. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.55x the Medicare baseline. Located in 300 West Hutchings Street, Winterset, IA.
Cash / Self-Pay
$248

Average discount available for prompt cash payment at this facility.

Insurance Median
$243

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: $248 (158%)
Insurance Median: $243 (155%)
Cash: $248 (158% of Medicare)
Ins. Median: $243 (155% 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.

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 $133 - $202 85%
Medical Associates Hp - All Plans $133 85%
Medigold-All Plans $133 85%
Tricare $133 85%
UnitedHealthcare $133 - $279 85%
American Hp Mcr Adv-All Plans $140 89%
Iowa Total Care Mcaid-All Plans $146 93%
Molina Mcaid/Chip -All Plans $151 96%
Amerigroup Mcaid-All Plans $154 98%
Madison County Sheriff-All Plans $155 99%
Oscar - All Plans $200 127%
Blue Cross Blue Shield $221 - $243 141%
Corvel Wc-All Plans $279 178%
Choicecare-All Plans $294 187%
First Choice-All Plans $294 187%
First Health-All Plans $294 187%
Integrated Hp-All Plans $294 187%
Mutual Of Omaha-All Plans $294 187%
Plaines Health-All Plans $294 187%
Preferred Hlth Ntwork-All Plans $294 187%
Principal Healthcare-All Plans $294 187%
Usa Managed Care-All Plans $294 187%
Medimore Employee Hp - All Plans $304 194%
Midlands Choice - All Plans $304 194%
Benefit Admin Of America-All Plans $310 197%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 West Hutchings Street, Winterset, IA 50273
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals