CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Norton-King's Daughters' Health

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $198
  • Cash Discount Price: $60
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Norton-King's Daughters' Health is $198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.57x the Medicare baseline. Located in 1373 East Sr 62, Madison, IN.
Cash / Self-Pay
$60

Average discount available for prompt cash payment at this facility.

Insurance Median
$198

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $60 (48%)
Insurance Median: $198 (157%)
Cash: $60 (48% of Medicare)
Ins. Median: $198 (157% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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
Aetna $30 - $284 24%
Blue Cross Blue Shield $69 - $238 55%
Managed Health Services Of Indiana $69 55%
UnitedHealthcare $69 - $254 55%
Humana $82 - $145 65%
Managed Health Services $85 - $128 67%
Managed Health Services Of Kentucky $99 - $145 78%
Passport By Molina $99 - $145 78%
Custom Design Benefits $110 - $165 87%
Caresource Of Kentucky $115 91%
Caresource Of Indiana $124 98%
Cigna $187 - $275 148%
Encore $187 - $275 148%
Quality Care Partners $196 - $287 155%
Bluegrass $198 - $291 157%
First Health $198 - $291 157%
Healthlink $198 - $291 157%
Vha/Tristate $198 - $291 157%
Multiplan/Phcs $202 - $297 160%
Indiana Health Network $209 - $307 166%
Siho $209 - $307 166%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1373 East Sr 62, Madison, IN 47250
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals