CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Lutheran Hospital of Indiana

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $260
  • Cash Discount Price: $186
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Lutheran Hospital of Indiana is $260. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $186. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.66x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$186

Average discount available for prompt cash payment at this facility.

Insurance Median
$260

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: $186 (118%)
Insurance Median: $260 (166%)
Cash: $186 (118% of Medicare)
Ins. Median: $260 (166% 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
UnitedHealthcare $90 - $327 57%
Tricare $95 61%
Department Of Veterans Affairs $100 64%
Veterans Eval Services $100 64%
Aetna $101 - $310 64%
Blue Cross Blue Shield $101 - $327 64%
Humana $101 - $327 64%
Iu Health Plan $101 64%
Managed Health Services $101 - $327 64%
Medicare (plans) $101 64%
Node Hospice Non Par Agree $102 65%
Node Va $102 65%
Node Devoted Health Mcr Adv $103 66%
In Dept Of Correction $106 68%
Node Pphp Mcr Adv $107 68%
Physicians Health Plan Of Northern Indiana $122 - $257 78%
Ky Work Comp $124 - $164 79%
Spreemo $131 83%
One Call Care Diagnostics $147 94%
Amish Aid $148 - $195 94%
Lutheran Preferred Network $148 - $391 94%
Self Pay $148 - $234 94%
Lutheran Advanced Network $153 97%
Node Lutheran Network $153 - $179 97%
Node Lutheran Preferred Fixed 2 $153 97%
Cigna $159 - $236 101%
Bccp In $160 102%
Lutheran Preferred $163 104%
Php Freedom Network $163 - $483 104%
Align Network $164 104%
Encore Work Comp In $184 117%
Prime Health Services $184 - $488 117%
Lutheran Network $204 - $326 130%
Sagamore $224 - $352 143%
Encore Ppo $241 - $272 154%
Node Encore Kba Epo $245 156%
Us Department Of Labor $249 159%
Node Encore Kba Ppo $307 196%
Care Source $327 208%
Medicaid / KanCare $327 208%
Multiplan $359 - $540 229%
Encore Health Network $403 - $586 257%
Advantage Health Solutions $408 - $540 260%
Allied Benefit Systems $443 - $586 282%
Evolutions $443 - $586 282%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals