CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Sullivan County Community Hospital

Billing Code: 77066 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$125

about 0.8× the $157 Medicare rate · typically $71–$340

modeled estimate · not a bill or quote

What this hospital charges insurers

$84

Below the fair price — a good deal

about $41 under the fair price · 0.5× Medicare

Medicare pays $157 Fair price $125 This hospital $84 Cash price $702 Hospital's list price $936

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

A typical price — 0 charge more and 3 charge less, among the 9 IN hospitals compared.

Cheapest $45 Priciest $84

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Diagnostic mammogram (both breasts) is about $125 (about 0.8× the $157 Medicare rate). Sullivan County Community Hospital charges insurers about $84, or about $702 in cash — below the fair price — a good deal. Located in Sullivan, IN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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	$685 - $905	436%
Blue Cross Blue Shieldmajor	$242 - $562	154%
Humanamajor	$84 - $905	54%
Ambetter (Centene)	$242 - $320	154%
+ 5 smaller / regional plans	$84 - $799

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 702), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77066.

Insurance Before you use insurance

Call your insurance company to confirm Sullivan County Community Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 77066.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Sullivan County Community Hospital

Compare: Diagnostic mammogram (both breasts) at other IN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.