CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Columbus Regional Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $351
  • Cash Discount Price: $338
  • vs. Medicare Baseline: 2.24x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Columbus Regional Hospital is $351. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $338. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.24x the Medicare baseline. Located in 2400 E 17Th St, Columbus, IN.
Cash / Self-Pay
$338

Average discount available for prompt cash payment at this facility.

Insurance Median
$351

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: $338 (215%)
Insurance Median: $351 (224%)
Cash: $338 (215% of Medicare)
Ins. Median: $351 (224% 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 224% of the Medicare baseline (a markup of 124%). 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
Aetna $100 - $360 64%
Blue Cross Blue Shield $100 - $370 64%
Caresource Commercial $100 64%
Humana $100 - $351 64%
Medicare (plans) $100 64%
UnitedHealthcare $100 - $360 64%
Ambetter / Centene $159 101%
Managed Health Services $327 208%
Mdwise $327 208%
Medicaid / KanCare $327 208%
Siho $338 215%
Cigna $354 - $355 226%
Medical Mutual Of Ohio $359 - $360 229%
Encore $363 - $364 231%
Phcs Multiplan $414 - $415 264%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 E 17Th St, Columbus, IN 47201
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals