CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Daviess Community Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $253
Cash Discount Price: $314
vs. Medicare Baseline: 1.61x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Daviess Community Hospital is $253. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $314. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.61x the Medicare baseline. Located in 1314 E Walnut St, Washington, IN.

Cash / Self-Pay

$314

Average discount available for prompt cash payment at this facility.

Insurance Median

$253

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: $314 (200%)

Insurance Median: $253 (161%)

Cash: $314 (200% of Medicare)

Ins. Median: $253 (161% 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	$45 - $582	29%
Blue Cross Blue Shield	$45 - $259	29%
Encore Ppo-All Plans	$45 - $481	29%
Humana	$45 - $198	29%
St. Vincent Health - All Plans	$49 - $379	31%
UnitedHealthcare	$49 - $489	31%
Caresource Mcaid-All Plans	$84 - $316	54%
Hoosier Healthwise Mcaid-All Plans	$84 - $316	54%
Mdwise Marketplace-All Plans	$86 - $282	55%
Patoka Valley-All Plans	$158 - $291	101%
Siho-All Plans	$284 - $524	181%
Sagamore Valley-All Plans	$306 - $565	195%

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 $314.
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 Daviess Community 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.