CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Anderson Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $150
  • Cash Discount Price: $381
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Anderson Hospital is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $381. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.96x the Medicare baseline. Located in 6800 State Route 162, Maryville, IL.
Cash / Self-Pay
$381

Average discount available for prompt cash payment at this facility.

Insurance Median
$150

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: $381 (243%)
Insurance Median: $150 (96%)
Cash: $381 (243% of Medicare)
Ins. Median: $150 (96% 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
Medicaid / KanCare $60 38%
Tricare $97 - $144 62%
Aetna $98 - $172 62%
Humana $98 - $148 62%
Medicare (plans) $98 - $150 62%
UnitedHealthcare $98 - $169 62%
Devoted Health Ppo $100 64%
Essence $100 - $103 64%
Clear Springs Health $101 64%
Health Care Service Corporation $127 - $348 81%
Ambetter / Centene $145 92%
Blue Choice $145 92%
Hopetrust $250 159%
Self Pay $380 - $25,000 242%
Work Comp $405 - $26,600 258%
Blue Cross Blue Shield $408 - $423 260%
Healthlink $457 291%
Mercy Aco $495 315%
Mercy Benefit Admin $495 315%
Cigna $533 340%
Multiplan/Phcs $571 364%
Beech Street Corporation $685 436%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6800 State Route 162, Maryville, IL 62062
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals