CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: St Alexius Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $128
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.82x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at St Alexius Medical Center is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.82x the Medicare baseline. Located in 1555 N Barrington Rd, Hoffman Estates, IL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$128

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%)
Insurance Median: $128 (82%)
Ins. Median: $128 (82% 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
Aarp $106 68%
UnitedHealthcare $106 - $113 68%
Aetna $112 - $601 71%
Blue Cross Blue Shield $112 - $601 71%
Covid-19 Uninsured $112 71%
Humana $112 - $542 71%
Medicare (plans) $112 - $115 71%
Cigna $113 - $589 72%
Molina Healthcare Of Illinois $115 73%
Bright Health $139 89%
Smarthealth $156 99%
Actin Care $173 110%
Ambetter / Centene $181 115%
County Care $601 383%
Harmony Health Plan $601 383%
Illinicare $601 383%
Medicaid / KanCare $601 383%
Meridian $601 383%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1555 N Barrington Rd, Hoffman Estates, IL 60169
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals