CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Hamilton Memorial Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $210
  • Cash Discount Price: $232
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Hamilton Memorial Hospital is $210. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $232. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.34x the Medicare baseline. Located in 611 S Marshall Avenue, McLeansboro, IL.
Cash / Self-Pay
$232

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: $232 (148%)
Insurance Median: $210 (134%)
Cash: $232 (148% 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
Medicaid / KanCare $102 - $109 65%
Blue Cross Blue Shield $104 - $248 66%
Aetna $109 - $246 69%
Health Alliance $109 - $218 69%
Humana $109 69%
Medicare (plans) $109 - $148 69%
UnitedHealthcare $109 - $195 69%
Wellcare $109 - $148 69%
Alliance Coal $191 122%
Healthscope $191 122%
Wellfirst (Ssmhic) $191 122%
Hope Trust $205 131%
Cigna $214 136%
Hfn, Inc $218 - $246 139%
Healthlink $232 - $246 148%
Multiplan $232 148%
Siho $246 157%
Three Rivers Provider $246 157%
Healthsmart $259 165%
Stratose $259 165%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 S Marshall Avenue, McLeansboro, IL 62859
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals