CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Pulaski Memorial Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $143
Cash Discount Price: $273
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Pulaski Memorial Hospital is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $273. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.91x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.

Cash / Self-Pay

$273

Average discount available for prompt cash payment at this facility.

Insurance Median

$143

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: $273 (174%)

Insurance Median: $143 (91%)

Cash: $273 (174% of Medicare)

Ins. Median: $143 (91% 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	$41 - $508	26%
Mdwise Mcaid Hcc	$44 - $84	28%
Mdwise Mcaid Hhw	$44 - $84	28%
Mdwise Mcaid Hip - All Other Plans	$44 - $199	28%
Ambetter / Centene	$45 - $199	29%
Blue Cross Blue Shield	$45 - $414	29%
Caresource Mcaid Hip	$45 - $199	29%
Caresource Mcare Hmo	$45 - $199	29%
Cenpatico Mcaid Hip	$45 - $199	29%
Humana	$45 - $517	29%
Mhs Mcaid Hip	$45 - $199	29%
Mhs Mcare Allwell	$45 - $201	29%
Multiplan - All Plans	$45 - $579	29%
Caresource Exch Hmo Hix - All Other Plans	$56 - $249	36%
Encore Ppo - All Other Plans	$68 - $546	43%
Caresource Mcaid Hhw	$84 - $143	54%
Cenpatico Mcaid Hhw - All Other Plans	$84 - $143	54%
Mhs Mcaid Hhw/Hcc	$84 - $143	54%
Community Health Alliance - All Plans	$88 - $572	56%
Encore Workers Comp	$124 - $579	79%
Aetna	$231	147%
Sagamore Rose Acre	$479	305%
Sagamore - All Other Plans	$486	310%
Cigna	$611	389%

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 $273.
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 Pulaski Memorial 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.