CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Dukes Memorial Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $203
  • Cash Discount Price: $221
  • vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Dukes Memorial Hospital is $203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $221. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.61x the Medicare baseline. Located in 275 W 12Th St, Peru, IN.
Cash / Self-Pay
$221

Average discount available for prompt cash payment at this facility.

Insurance Median
$203

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $221 (175%)
Insurance Median: $203 (161%)
Cash: $221 (175% of Medicare)
Ins. Median: $203 (161% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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
Department Of Veterans Affairs $77 - $79 61%
Tricare $77 - $79 61%
Veterans Eval Services $82 65%
Blue Cross Blue Shield $83 - $270 66%
Humana $83 - $270 66%
Iu Health Plan $83 66%
Managed Health Services $83 - $270 66%
Medicare (plans) $83 66%
UnitedHealthcare $83 - $270 66%
Aetna $84 - $204 67%
Node Devoted Health Mcr Adv $84 67%
Node Va $84 - $207 67%
In Dept Of Correction $88 70%
Miami County Sheriffs Department $88 70%
Node Pphp Mcr Adv $89 70%
Bccp $91 72%
One Call Wc $118 93%
Lutheran Advanced Network $127 101%
Lutheran Three Rivers Preferred Plus 150 $127 101%
Node Lutheran Preferred Fixed 2 $127 101%
Lutheran Preferred $132 - $342 105%
Align Network $135 107%
Lutheran Three Rivers Preferred Plus 175 $148 117%
Encore Work Comp In $152 120%
Prime Health Services $152 - $321 120%
Three Rivers Preferred Plus $157 124%
Partners Direct Health Llc $158 - $163 125%
Physicians Health Plan $167 - $200 132%
Lutheran Northwest Health Preferred $169 134%
Work Comp $169 134%
Cigna $176 - $428 139%
Three Rivers Preferred $187 - $193 148%
Php Freedom $192 - $198 152%
Us Department Of Labor $201 159%
Encore Kba Epo $203 161%
Amish Aid $208 - $214 165%
Caresource $208 - $270 165%
Encore Ppo $208 - $214 165%
Self Pay $208 - $235 165%
Sagamore Health Network $230 - $237 182%
Encore Kba Ppo $253 200%
Consumer Life $258 - $265 204%
Medicaid / KanCare $270 214%
Mhs $270 214%
First Health $333 - $342 264%
Multiplan $337 - $347 267%
Encore Health Network $341 - $351 270%
Advantage Health Solutions $345 - $355 273%
Encore $374 - $385 296%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 275 W 12Th St, Peru, IN 46970
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals