CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Decatur County Memorial Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $182
Cash Discount Price: $289
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Decatur County Memorial Hospital is $182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $289. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.16x the Medicare baseline. Located in 720 North Lincoln Street, Greensburg, IN.

Cash / Self-Pay

$289

Average discount available for prompt cash payment at this facility.

Insurance Median

$182

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: $289 (184%)

Insurance Median: $182 (116%)

Cash: $289 (184% of Medicare)

Ins. Median: $182 (116% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$30 - $551	19%
Aetna	$45 - $476	29%
Blue Cross Blue Shield	$45 - $242	29%
Caresource Mcr Adv	$45 - $191	29%
Choice Care Mcr Adv	$45 - $182	29%
Choicecare Commercial-All Other Plans	$45 - $582	29%
Encircle-All Plans	$45 - $532	29%
Siho Mcr Adv	$45 - $182	29%
Thcg/Encore-All Plans	$45 - $588	29%
Caresource Just4Me-All Other Plans	$51 - $309	32%
Cigna	$54 - $482	34%
Medicaid / KanCare	$84 - $143	54%
Siho-All Other Plans	$102 - $607	65%
Sagamore Health-All Plans	$116 - $501	74%
Healthsource Indiana-All Plans	$130 - $563	83%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $289.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Decatur County Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.