CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Fhn Memorial Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $258
  • Cash Discount Price: $259
  • vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Fhn Memorial Hospital is $258. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $259. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.64x the Medicare baseline. Located in 1045 West Stephenson Street, Freeport, IL.
Cash / Self-Pay
$259

Average discount available for prompt cash payment at this facility.

Insurance Median
$258

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: $259 (165%)
Insurance Median: $258 (164%)
Cash: $259 (165% of Medicare)
Ins. Median: $258 (164% 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
Meridian Health Plan - All Plans $41 - $183 26%
Aetna $47 - $369 30%
Health Alliance Mcr Adv $47 - $148 30%
Humana $47 - $524 30%
Quartz Mcr Adv $47 - $148 30%
UnitedHealthcare $47 - $516 30%
Ecoh - All Other Plans $75 - $450 48%
Ecoh Nihp $75 - $417 48%
Osf Healthplans - All Plans $81 - $662 52%
Blue Cross Blue Shield $109 - $447 69%
Quartz - All Other Plans $110 - $430 70%
Northern Il Hp - All Plans $126 - $457 80%
The Alliance - All Plans $127 - $397 81%
Hfn - All Plans $156 - $543 99%
Galaxy - All Plans $165 - $596 105%
Health Alliance - All Other Plans $165 - $596 105%
Interplan Health - All Plans $165 - $596 105%
Midland Choice - All Plans $165 - $629 105%
Multiplan Phcs - All Plans $165 - $563 105%
Preferred Plan Ppo - All Plans $165 - $596 105%
Wps - All Plans $165 - $578 105%
Trustmark - All Plans $168 - $609 107%
Nihp Employ - All Plans $292 - $417 186%
First Health - All Plans $326 - $465 208%
First Choice Il - All Plans $394 - $563 251%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1045 West Stephenson Street, Freeport, IL 61032
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals