CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Carle Hoopeston Regional Health Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $479
Cash Discount Price: $840
vs. Medicare Baseline: 3.05x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Carle Hoopeston Regional Health Center is $479. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $840. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 3.05x the Medicare baseline. Located in 701 East Orange Street, Hoopeston, IL.

Cash / Self-Pay

$840

Average discount available for prompt cash payment at this facility.

Insurance Median

$479

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: $840 (535%)

Insurance Median: $479 (305%)

Cash: $840 (535% of Medicare)

Ins. Median: $479 (305% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 305% of the Medicare baseline (a markup of 205%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$84 - $176	54%
Aetna	$138 - $4,033	88%
Humana	$148 - $4,033	94%
Blue Cross Blue Shield	$176 - $4,033	112%
Molina	$176 - $252	112%
UnitedHealthcare	$176 - $4,033	112%
Wellcare	$176 - $4,033	112%
Cigna	$655	417%
Multiplan/Phcs	$672 - $714	428%
Healthlink	$756	482%

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 $840.
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 Hoopeston Regional Health Center 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.