CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Mc Donough District Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $157
  • Cash Discount Price: $248
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Mc Donough District Hospital is $157. 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 1.00x the Medicare baseline. Located in 525 East Grant Street, Macomb, IL.
Cash / Self-Pay
$248

Average discount available for prompt cash payment at this facility.

Insurance Median
$157

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: $157 (100%)
Cash: $248 (158% of Medicare)
Ins. Median: $157 (100% 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
Health Alliance $27 - $570 17%
Hfn $42 - $576 27%
UnitedHealthcare $42 - $576 27%
Aetna $44 - $640 28%
Humana $45 - $576 29%
Medicaid / KanCare $45 - $640 29%
Medicare (plans) $45 - $99 29%
Meridian $45 - $144 29%
Molina $45 - $640 29%
Mutual Medical $45 - $640 29%
Veteran Affairs $45 - $144 29%
Blue Cross Blue Shield $60 - $640 38%
Tricare $99 63%
Springfield Health $152 - $525 97%
Consociate $157 - $544 100%
Trilogy $157 - $544 100%
Blue Choice $166 - $576 106%
Current Health $166 - $576 106%
Healthlink $166 - $602 106%
Preferred Plan $176 - $608 112%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 525 East Grant Street, Macomb, IL 61455
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals