CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Boone County Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $254
  • Cash Discount Price: $452
  • vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Boone County Hospital is $254. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $452. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.62x the Medicare baseline. Located in 1015 Union Street, Boone, IA.
Cash / Self-Pay
$452

Average discount available for prompt cash payment at this facility.

Insurance Median
$254

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: $452 (288%)
Insurance Median: $254 (162%)
Cash: $452 (288% of Medicare)
Ins. Median: $254 (162% 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
Tricare $145 92%
Wellmark Hmo $201 128%
Wellmark Ppo - All Other Plans $221 141%
Choice Care Mcr Adv - All Plans $232 148%
Humana $232 - $508 148%
Iowa Hlth Adv - All Plans $232 148%
Mt Carmel Hp - All Plans $232 148%
UnitedHealthcare $232 - $332 148%
Va Ccn-All Plans $232 148%
Amerigroup Mcr Adv - All Other Plans $234 149%
Aetna $237 - $441 151%
Meridian Mcaid - All Plans $254 162%
Iowa Total Care Mcaid - All Plans $259 165%
Medicaid / KanCare $262 167%
Healthsmart Accell Network $396 252%
Medical Associates Hp-All Plans $424 270%
Healthsmart Ppo - All Other Plans $452 288%
Health Alliance-All Plans $508 324%
Midlands Choice-All Plans $520 331%
Mutually Preferred-All Plans $537 342%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1015 Union Street, Boone, IA 50036
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals