CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Perry County Memorial Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $187
  • Cash Discount Price: $304
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Perry County Memorial Hospital is $187. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $304. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.19x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.
Cash / Self-Pay
$304

Average discount available for prompt cash payment at this facility.

Insurance Median
$187

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: $304 (194%)
Insurance Median: $187 (119%)
Cash: $304 (194% of Medicare)
Ins. Median: $187 (119% 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
Medicaid / KanCare $46 - $668 29%
Veterans Administration $50 - $668 32%
Bc 130 $52 - $534 33%
Group Insurance $52 - $668 33%
Medicare (plans) $52 - $174 33%
Workers Compensation $100 - $334 64%
Nsa $118 - $412 75%
Guarantor Liable $140 - $668 89%
Pcmh Insurnace $156 - $668 99%
Secondary Insurance $160 - $534 102%
UnitedHealthcare $160 - $534 102%
Operating Engineers $170 - $568 108%
Boilermakers Healthcare $174 - $581 111%
Cigna $174 - $581 111%
Great West $174 - $668 111%
Sagxxxx $174 - $581 111%
Champus $200 - $668 127%
Ngs American, Inc $200 - $668 127%
Patoka Valley $200 - $668 127%
Southwire $200 - $668 127%
Tricare $200 - $668 127%
Wausau Benefits $200 - $668 127%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8885 Sr 237, Tell City, IN 47586
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals