CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Carle Eureka Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $209
Cash Discount Price: $465
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Carle Eureka Hospital is $209. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $465. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.33x the Medicare baseline. Located in 101 S Major St, Eureka, IL.

Cash / Self-Pay

$465

Average discount available for prompt cash payment at this facility.

Insurance Median

$209

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: $465 (296%)

Insurance Median: $209 (133%)

Cash: $465 (296% of Medicare)

Ins. Median: $209 (133% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$46 - $223	29%
Aetna	$88 - $307	56%
Molina	$93 - $223	59%
Humana	$134 - $209	85%
Wellcare	$148	94%
UnitedHealthcare	$209 - $287	133%
Community Partners Health Plan (Cphp)	$279	178%
Cigna	$288	183%
Healthlink	$302	192%
Blue Cross Blue Shield	$312 - $391	199%
Multiplan/Phcs	$349	222%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $465.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Carle Eureka Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.