CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Woodlawn Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $135
  • Cash Discount Price: $459
  • vs. Medicare Baseline: 0.86x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Woodlawn Hospital is $135. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $459. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.86x the Medicare baseline. Located in 1400 E 9Th St, Rochester, IN.
Cash / Self-Pay
$459

Average discount available for prompt cash payment at this facility.

Insurance Median
$135

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: $459 (292%)
Insurance Median: $135 (86%)
Cash: $459 (292% of Medicare)
Ins. Median: $135 (86% 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
Blue Cross Blue Shield $72 - $465 46%
Caresource Mcaid Hww $84 54%
Mdwise Excel Hhw & Hcc $84 54%
Mhs Mcaid Hcc $84 54%
Mhs Mcaid Hhw $84 54%
UnitedHealthcare $84 - $465 54%
Aetna $135 - $581 86%
Caresource Mcaid Hip $135 86%
Caresource Mcr Adv $135 86%
Humana $135 - $475 86%
Mdwise Mcaid Excel Hip $135 86%
Mhs Exch Mrktplce-All Other Plans $135 86%
Mhs Mcaid Hip $135 86%
Mhs Mcr Adv $137 87%
Caresource Exch - All Other Plans $175 111%
Ambetter / Centene $179 114%
Partners Direct Health-All Plans $416 265%
Cigna $438 - $520 279%
Parkview Health Plans-All Plans $459 292%
Sagamore All Other Grps - All Other Plans $514 327%
Encore Comm-All Plans $520 331%
Phcs/Multiplan-All Plans $569 362%
Community Health Alliance-All Plans $581 370%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 E 9Th St, Rochester, IN 46975
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals