CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Monroe County Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $305
  • Cash Discount Price: $370
  • vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Monroe County Hospital is $305. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $370. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.94x the Medicare baseline. Located in 6580 165Th Street, Albia, IA.
Cash / Self-Pay
$370

Average discount available for prompt cash payment at this facility.

Insurance Median
$305

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: $370 (236%)
Insurance Median: $305 (194%)
Cash: $370 (236% of Medicare)
Ins. Median: $305 (194% 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
Wellmark Hmo $64 41%
Wellmark Ppo - All Other Plans $68 43%
Mahp Mcare - All Plans $259 165%
Tricare $259 165%
UnitedHealthcare $259 - $585 165%
Va Ccn - All Plans $259 165%
Amerigroup Mcare $261 166%
Humana $261 166%
Wellmark Mcare $261 166%
Aetna $264 - $579 168%
Iowa Total Care Mcaid - All Plans $308 196%
Molina Mcaid - All Plans $312 199%
Amerigroup Mcaid - All Other Plans $317 202%
Centivo - All Plans $388 247%
Midlands Choice - All Plans $431 275%
Preferred Hlth - All Plans $462 294%
Geha - All Plans $493 314%
Multiplan - All Plans $554 353%
Integrated Hp - All Plans $598 381%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6580 165Th Street, Albia, IA 52531
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals