CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HSHS Good Shepherd Hospital Inc

Billing Code: 77066 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$201

about 1.3× the $157 Medicare rate · typically $102–$398

modeled estimate · not a bill or quote

What this hospital charges insurers

$159

Below the fair price — a good deal

about $42 under the fair price · 1.0× Medicare

Medicare pays $157 Fair price $201 This hospital $159 Cash price $474 Hospital's list price $659

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $48 Priciest $159

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Diagnostic mammogram (both breasts) is about $201 (about 1.3× the $157 Medicare rate). HSHS Good Shepherd Hospital Inc charges insurers about $159, or about $474 in cash — below the fair price — a good deal. Located in Shelbyville, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$148 - $525	94%
Blue Cross Blue Shieldmajor	$148 - $659	94%
Aetnamajor	$148 - $461	94%
Cignamajor	$587	374%
Humanamajor	$148 - $659	94%
HealthLink	$550	350%
Meridian	$166	106%
Molina	$156 - $692	99%
+ 12 smaller / regional plans	$148 - $1,648

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 474), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77066.

Insurance Before you use insurance

Call your insurance company to confirm HSHS Good Shepherd Hospital Inc is in-network.
Ask your insurer whether prior approval is required for CPT code 77066.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at HSHS Good Shepherd Hospital Inc

Compare: Diagnostic mammogram (both breasts) at other IL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.