CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Indiana University Health Jay, Inc.

Billing Code: 77067 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$161
about 1.3× the $126 Medicare rate · typically $58–$281
modeled estimate · not a bill or quote
What this hospital charges insurers
$175
About the fair price
about $14 over the fair price · 1.4× Medicare
Medicare pays $126 Fair price $161 This hospital $175 Cash price $440 Hospital's list price $983

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Highest price of the 9 IN hospitals we have prices for — worth calling around.

Cheapest $34 Priciest $175

Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.

A fair price for a Screening mammogram (both breasts) is about $161 (about 1.3× the $126 Medicare rate). Indiana University Health Jay, Inc. charges insurers about $175, or about $440 in cash — about the fair price. Located in Portland, IN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $175 - $1,156 139%
Blue Cross Blue Shieldmajor $175 - $608 139%
Aetnamajor $175 - $1,297 139%
Cignamajor $175 - $1,440 139%
CareSource $270 214%
Health Net $175 - $1,439 139%
+ 8 smaller / regional plans $175 - $1,629
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 500 W Votaw St, Portland, IN 47371
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals