CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Memorial Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $418
  • Cash Discount Price: $696
  • vs. Medicare Baseline: 2.66x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Memorial Medical Center is $418. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $696. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.66x the Medicare baseline. Located in 701 N First St, Springfield, IL.
Cash / Self-Pay
$696

Average discount available for prompt cash payment at this facility.

Insurance Median
$418

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: $696 (443%)
Insurance Median: $418 (266%)
Cash: $696 (443% of Medicare)
Ins. Median: $418 (266% 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 266% of the Medicare baseline (a markup of 166%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $45 - $452 29%
Medicaid / KanCare $60 38%
Molina $61 39%
Veterans Administration $70 45%
Blue Cross Blue Shield $91 - $696 58%
Aetna $98 - $529 62%
Medicare (plans) $98 - $696 62%
Tricare $98 62%
UnitedHealthcare $98 - $432 62%
Humana $102 - $418 65%
Current Health Network Ppo $313 199%
Healthlink $348 - $438 222%
Commercial Workers Compensation $352 224%
Cigna $365 233%
Illinois Workers Compensation $370 236%
Phcs/Multiplan $376 - $418 240%
6 Degrees Health $418 266%
Hopetrust $418 266%
Hst $418 266%
Magellan $418 266%
Consociate $452 288%
Hfn $452 288%
Preferred Plan $522 333%
Soi Mcfarland $522 333%
Soi Rushville $522 333%
Corvel $557 355%
Methodist First Choice $557 355%
Mutual Medical Plans $592 377%
Liability $696 443%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N First St, Springfield, IL 62702
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals