CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: St Anthony Regional Hospital & Nursing Home

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $221
  • Cash Discount Price: $533
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at St Anthony Regional Hospital & Nursing Home is $221. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $533. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.41x the Medicare baseline. Located in 311 South Clark Street, Carroll, IA.
Cash / Self-Pay
$533

Average discount available for prompt cash payment at this facility.

Insurance Median
$221

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: $533 (340%)
Insurance Median: $221 (141%)
Cash: $533 (340% of Medicare)
Ins. Median: $221 (141% 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 $192 - $480 122%
Humana $192 - $453 122%
Medica Mcr - All Plans $192 122%
UnitedHealthcare $192 - $430 122%
Va Ccn - All Plans $192 122%
Wellpoint Mcr Adv $192 122%
Ia Total Care Mcr $198 126%
Ia Total Care Mcaid $219 140%
Wellpoint Mcaid - All Other Plans $219 140%
Wellmark Hmo $221 141%
Molina Mcaid - All Plans $223 142%
Wellmark Ppo-All Other Plans $243 155%
Ia Total Care Comm - All Other Plans $249 159%
Midlands Choice - All Plans $501 319%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 311 South Clark Street, Carroll, IA 51401
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals