CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Ascension St Vincent Williamsport

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $110
  • Cash Discount Price: $379
  • vs. Medicare Baseline: 0.70x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Ascension St Vincent Williamsport is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $379. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.70x the Medicare baseline. Located in 412 N Monroe St, Williamsport, IN.
Cash / Self-Pay
$379

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $379 (241%)
Insurance Median: $110 (70%)
Cash: $379 (241% of Medicare)
Ins. Median: $110 (70% 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 $27 - $211 17%
Blue Cross Blue Shield $47 - $327 30%
Aetna $103 66%
Encore Exclusive $103 66%
Patoka Valley Tier 1 $103 66%
Patoka Valley Tier 2 $103 66%
Ambetter / Centene $110 70%
Caresource Marketplace $110 70%
Corizon $110 70%
Helping Hand Old Order $110 70%
Humana $110 70%
Immergrun $110 70%
Medicare (plans) $110 70%
Personalized Care $110 70%
Secure Horizons-Pacificare $110 70%
Secure Horizons-Unicare $110 70%
Smarthealth Ppo $110 70%
Medicaid / KanCare $327 208%
Mhs Care Connect $327 208%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 412 N Monroe St, Williamsport, IN 47993
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals