CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: The Women's Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $159
Cash Discount Price: $321
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at The Women's Hospital is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $321. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.01x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.

Cash / Self-Pay

$321

Average discount available for prompt cash payment at this facility.

Insurance Median

$159

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: $321 (204%)

Insurance Median: $159 (101%)

Cash: $321 (204% of Medicare)

Ins. Median: $159 (101% 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
UnitedHealthcare	$40 - $435	25%
Blue Cross Blue Shield	$44 - $84	28%
Chamber Care	$44 - $380	28%
Immergrun	$53 - $227	34%
Amish	$70	45%
Encorecombined	$70 - $380	45%
Encoreprime	$70 - $370	45%
Self Pay	$70 - $321	45%
Caresource Hip	$84	54%
Caresource In	$84	54%
Mdwise Hip	$84	54%
Mhs Behavioral	$84	54%
Alliance Coal	$120 - $377	76%
Allied National/Zelis - Freedom Plan	$120	76%
Center Care	$120 - $424	76%
Cigna	$120 - $391	76%
Patoka Valley Health Care (80/20 Plan)	$120 - $337	76%
Patoka Valley Health Care (90/10 Plan)	$120 - $326	76%
Sagamore	$120 - $391	76%
Aetna	$125 - $362	80%
Humana	$125	80%
Passport Molina Ky	$125	80%
Wellcare Ky	$125	80%
Claimdoc	$136	87%
Claritev (Formerly Phcs/Mulitplan)	$140 - $375	89%
First Health/Coventry	$140 - $402	89%
Healthlink	$140 - $462	89%
Iu Health	$272	173%
Ambetter / Centene	$326	208%
One Care	$380	242%

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 $321.
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 The Women's 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.