CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Dupont Hospital LLC

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $307
  • Cash Discount Price: $243
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Dupont Hospital LLC is $307. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $243. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.96x the Medicare baseline. Located in 2520 E Dupont Rd, Fort Wayne, IN.
Cash / Self-Pay
$243

Average discount available for prompt cash payment at this facility.

Insurance Median
$307

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: $243 (155%)
Insurance Median: $307 (196%)
Cash: $243 (155% of Medicare)
Ins. Median: $307 (196% 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
UnitedHealthcare $90 - $327 57%
Tricare $95 61%
Department Of Veterans Affairs $100 64%
Veterans Eval Services $100 64%
Aetna $101 - $374 64%
Blue Cross Blue Shield $101 - $327 64%
Humana $101 - $327 64%
Medicare (plans) $101 64%
Node Mhs Mcr Adv $101 64%
Iu Health $102 65%
Node Non Par Hospice Agree $102 65%
Node Va $102 65%
Node Devoted Health Mcr Adv $103 66%
In Dept Of Correction $106 68%
Node Pphp Mcr Adv $107 68%
Physicians Health Plan $140 - $324 89%
Lutheran Advanced Network $153 97%
Lutheran Preferred $153 - $502 97%
Lutheran Preferred Fixed 2 $153 97%
Managed Health Services $153 - $327 97%
Amish Aid $156 - $226 99%
Self Pay $156 - $377 99%
Bccp $160 102%
Align In Work Comp $164 104%
Encore Work Comp In $184 117%
Prime Health Services $184 - $628 117%
Cigna $187 - $304 119%
In Work Comp $204 130%
Encore Kba Epo $245 156%
Us Department Of Labor $249 159%
Encore Ppo $263 168%
Lutheran Network $290 - $418 185%
Encore Kba Ppo $307 196%
Medical Mutual Of Oh $307 - $444 196%
Sagamore $312 - $466 199%
Caresource $327 208%
Medicaid / KanCare $327 208%
Frontpath $463 - $670 295%
Encore Health Network $475 - $753 303%
Advantage Health Solutions $481 - $695 306%
Php Freedom Network $483 308%
Multiplan $498 - $753 317%
Allied Benefit Systems $521 - $753 332%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2520 E Dupont Rd, Fort Wayne, IN 46825
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals