CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Thomas H Boyd Memorial Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $210
  • Cash Discount Price: $237
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Thomas H Boyd Memorial Hospital is $210. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $237. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.34x the Medicare baseline. Located in 800 School St, Carrollton, IL.
Cash / Self-Pay
$237

Average discount available for prompt cash payment at this facility.

Insurance Median
$210

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: $237 (151%)
Insurance Median: $210 (134%)
Cash: $237 (151% of Medicare)
Ins. Median: $210 (134% 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 $92 - $309 59%
Blue Cross Blue Shield $92 - $309 59%
Health Alliance Mcr Adv $92 - $210 59%
UnitedHealthcare $92 - $291 59%
Wellcare Mcr Adv-All Plans $92 - $210 59%
Humana $93 - $212 59%
Health Alliance-All Other Plans $111 - $252 71%
Ambetter / Centene $120 - $273 76%
Cigna $129 - $294 82%
Multiplan-All Plans $136 - $309 87%
Healthlink Hmo $138 - $313 88%
Healthlink Il Only $138 - $301 88%
Healthlink Ppo-All Other Plans $156 - $354 99%
Hfn Zelis-All Plans $165 - $375 105%
Meridian Hp Mcaid-All Plans $248 158%
Molina Mcaid-All Plans $248 158%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 School St, Carrollton, IL 62016
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals