CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Presence Mercy Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $114
  • Cash Discount Price: $114
  • vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Presence Mercy Medical Center is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.73x the Medicare baseline. Located in 1325 N Highland Avenue, Aurora, IL.
Cash / Self-Pay
$114

Average discount available for prompt cash payment at this facility.

Insurance Median
$114

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: $114 (73%)
Insurance Median: $114 (73%)
Cash: $114 (73% of Medicare)
Ins. Median: $114 (73% 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 $60 - $120 38%
Blue Cross Blue Shield $60 - $160 38%
Humana $60 - $125 38%
Medicaid / KanCare $60 - $63 38%
Harmony Health Plan $63 - $121 40%
Meridian $63 - $120 40%
Molina $63 - $171 40%
Advocate Helath Partners $114 - $125 73%
Celtic (Wellcare) $114 73%
Cigna $114 - $917 73%
Clear Spring Health Of Illinois $114 73%
Devoted Health $114 73%
Essential Health Partners $114 - $131 73%
Health Alliance Medical Plan $114 73%
Longevity Health Plan Of Illinois $114 73%
Medicare (plans) $114 73%
Ravenswood Physicians Associates Ipa $114 73%
Resurrection Physicians Provider Group Ipa $114 73%
Self-Pay $114 73%
Tricare $114 73%
United Behavioral Health $114 73%
UnitedHealthcare $114 - $143 73%
Zing Health Provider Network $117 75%
Provider Partners Health Plan (Pphp) $120 76%
Vna Health Care $121 77%
Access Community Health Network $137 87%
Clifton Health Systems $177 113%
Ambetter / Centene $185 118%
Imagine Health Network, Inc. $232 148%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1325 N Highland Avenue, Aurora, IL 60506
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals