CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Bluffton Regional Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $153
  • Cash Discount Price: $158
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Bluffton Regional Medical Center is $153. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $158. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.97x the Medicare baseline. Located in 303 S Main St, Bluffton, IN.
Cash / Self-Pay
$158

Average discount available for prompt cash payment at this facility.

Insurance Median
$153

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: $158 (101%)
Insurance Median: $153 (97%)
Cash: $158 (101% of Medicare)
Ins. Median: $153 (97% 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
Amish Aid $31 - $246 20%
Physicians Health Plan $31 - $248 20%
Self Pay $31 - $564 20%
Lutheran Preferred Network $39 - $820 25%
Cigna $41 - $363 26%
Php $41 - $327 26%
Aetna $47 - $457 30%
Php Management Systems $50 - $397 32%
Lutheran Trma $58 - $461 37%
UnitedHealthcare $60 - $480 38%
Encore Ppo $63 - $501 40%
Sagamore Sebt $66 - $524 42%
Sagamore Health Newtork Inc $69 - $549 44%
Consumer Life $80 - $636 51%
Ahg Dana Employees $84 - $666 54%
Align Networks $90 - $718 57%
Tricare $95 61%
Prime Health Services $97 - $769 62%
Private Healthcare Systems Inc $97 - $769 62%
Department Of Veterans Affairs $100 64%
Veterans Eval Services $100 64%
Blue Cross Blue Shield $101 - $327 64%
Medicare (plans) $101 64%
Node Caresource Mcr Adv $101 64%
Node Iu Health Mcr Adv $101 64%
Node Mhs Mcr Adv $101 64%
Humana $102 - $327 65%
Node Non Par Hospice Agree $102 65%
Node Va $102 65%
Northeast Hospice $102 65%
Multiplan $103 - $820 66%
Node Devoted Health Mcr Adv $103 66%
County Jail Health Care $106 68%
Encore Health Network $106 - $922 68%
In Dept Of Correction $106 68%
Advantage 360 $107 - $851 68%
Node Pphp Mcr Adv $107 68%
Community Health Alliance $110 - $871 70%
First Health $111 - $882 71%
Allied Benefit Systems $116 - $922 74%
Cardinal Health Alliance $116 - $922 74%
Ppom $116 - $922 74%
Php Freedom Network $129 - $455 82%
Lutheran Advanced Network $153 97%
Lutheran Three Rivers Preferred Plus 150 $153 97%
Bccp $160 102%
Us Department Of Labor $161 - $249 103%
Lutheran Three Rivers Preferred Plus 175 $179 114%
Encore Work Comp In $184 117%
Lutheran Northwest Health Preferred $204 130%
Managed Health Services Exchange $204 130%
Workers Compensation $204 130%
Encore Kba Epo $245 156%
Encore Kba Ppo $307 196%
Caresource $327 208%
Medicaid / KanCare $327 208%
Mhs $327 208%
Mhs In Hip $327 208%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 S Main St, Bluffton, IN 46714
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals