CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Jacksonville Memorial Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $418
Cash Discount Price: $719
vs. Medicare Baseline: 2.66x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Jacksonville Memorial Hospital is $418. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $719. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.66x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$719

Average discount available for prompt cash payment at this facility.

Insurance Median

$418

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: $719 (458%)

Insurance Median: $418 (266%)

Cash: $719 (458% of Medicare)

Ins. Median: $418 (266% 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 266% of the Medicare baseline (a markup of 166%). 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
Medicaid / KanCare	$94	60%
Molina Healthcare	$94	60%
Blue Cross Blue Shield	$102 - $742	65%
Coventry	$110 - $146	70%
Health Alliance	$110 - $505	70%
Humana	$110 - $633	70%
Medicare (plans)	$110 - $146	70%
UnitedHealthcare	$111 - $534	71%
Tricare	$127 - $144	81%
Health Alliance Mh Employee Plan	$320 - $341	204%
Commercial Workers Compensation	$352 - $375	224%
Corvel/Corcare	$363 - $387	231%
Illinois Workers Compensation	$370 - $395	236%
Current Health Network	$383 - $556	244%
6 Degrees Health	$418 - $445	266%
Hope Trust	$418 - $445	266%
Hst	$418 - $445	266%
Cigna	$482 - $514	307%
Aetna	$486 - $594	310%
Healthlink	$592 - $631	377%
Phcs/Multiplan	$626 - $668	399%
Hfn	$661 - $705	421%
Liability	$696 - $742	443%

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 $719.
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 Jacksonville Memorial 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.