CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Fayette County Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $240
Cash Discount Price: $510
vs. Medicare Baseline: 1.53x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Fayette County Hospital is $240. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $510. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.53x the Medicare baseline. Located in 650 W Taylor St, Vandalia, IL.

Cash / Self-Pay

$510

Average discount available for prompt cash payment at this facility.

Insurance Median

$240

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: $510 (325%)

Insurance Median: $240 (153%)

Cash: $510 (325% of Medicare)

Ins. Median: $240 (153% 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
Aetna	$42 - $518	27%
Health Alliance Mcare	$47 - $240	30%
Healthlink Mcr Adv	$47 - $240	30%
Cigna	$53 - $562	34%
Coventry/Ghp-All Plans	$63 - $488	40%
Multiplan - All Plans	$86 - $638	55%
Health Alliance - All Other Plans	$93 - $620	59%
Blue Cross Blue Shield	$94 - $630	60%
Illinicare - All Plans	$94 - $269	60%
Medicaid / KanCare	$94 - $269	60%
Meridian-All Plans	$94 - $269	60%
UnitedHealthcare	$223 - $622	142%
Healthlink Hmo	$231 - $525	147%
Healthlink Ppo - All Other Plans	$231 - $600	147%
Humana	$240	153%

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 $510.
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 Fayette County 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.