CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Buena Vista Regional Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $337
Cash Discount Price: $278
vs. Medicare Baseline: 2.15x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Buena Vista Regional Medical Center is $337. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $278. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.15x the Medicare baseline. Located in 1525 West 5Th Street, Storm Lake, IA.

Cash / Self-Pay

$278

Average discount available for prompt cash payment at this facility.

Insurance Median

$337

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: $278 (177%)

Insurance Median: $337 (215%)

Cash: $278 (177% of Medicare)

Ins. Median: $337 (215% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 215% of the Medicare baseline (a markup of 115%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Ambetter / Centene	$184 - $347	117%
Champus	$184	117%
Champva	$184	117%
Health Partners	$184 - $347	117%
Iowa Health Advantage	$184 - $347	117%
Medicare (plans)	$184 - $347	117%
UnitedHealthcare	$184 - $347	117%
Wellcare	$184 - $347	117%
American Postal Workers	$278	177%
Avera	$295	188%
Cigna	$312	199%
Aetna	$337 - $347	215%
First Administrators	$337	215%
Golden Rule	$337	215%
Great West	$337	215%
Healthscope	$337	215%
Medical Associates	$337	215%
Meritain	$337	215%
Midlands Choice	$337	215%
Blue Cross Blue Shield	$347	221%
Humana	$347	221%
Wellpoint	$347	221%

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 $278.
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 Buena Vista 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.