CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Deaconess Hospital Inc

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $344
  • Cash Discount Price: $251
  • vs. Medicare Baseline: 2.19x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Deaconess Hospital Inc is $344. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $251. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.19x the Medicare baseline. Located in 600 Mary St, Evansville, IN.
Cash / Self-Pay
$251

Average discount available for prompt cash payment at this facility.

Insurance Median
$344

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: $251 (160%)
Insurance Median: $344 (219%)
Cash: $251 (160% of Medicare)
Ins. Median: $344 (219% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 219% of the Medicare baseline (a markup of 119%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $40 - $597 25%
Caresource In Marketplace $70 45%
Ky Racing Health & Welfare Fund $70 - $251 45%
Self-Pay $70 - $251 45%
Allied National $120 - $457 76%
Ambetter / Centene $120 - $457 76%
Center Care Narrow Select $120 - $450 76%
Center Care Open Access $120 - $488 76%
Chamber Care $120 - $457 76%
Cigna $120 - $533 76%
Claimdoc $120 - $457 76%
Healthscope $120 - $455 76%
Hopetrust $120 - $457 76%
Hstechnology $120 - $457 76%
Humana $120 - $190 76%
Patoka Valley Health Care (80/20 Plan) $120 - $381 76%
Patoka Valley Health Care (90/10 Plan) $120 - $381 76%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $120 - $488 76%
Alliance Coal $130 - $370 83%
Parkview Signature Care $136 - $518 87%
Aetna $140 - $458 89%
Claritev (Formerly Phcs Multiplan) $140 - $495 89%
First Health $140 - $564 89%
Healthlink $150 - $648 96%
Encircle/Encore Combined $160 - $422 102%
Encircle/Encore Elite+ $160 - $379 102%
Encircle/Encore Prime $160 - $385 102%
National Rural Electric $176 - $671 112%
Medicaid / KanCare $190 121%
Blue Cross Blue Shield $225 143%
Immergrun $319 203%
Deaconess Onecare $379 241%
Iu Health Network $391 249%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Mary St, Evansville, IN 47747
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals