CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Norton Scott Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $371
Cash Discount Price: $132
vs. Medicare Baseline: 2.36x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Norton Scott Hospital is $371. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $132. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.36x the Medicare baseline. Located in 1451 N Gardner St, Scottsburg, IN.

Cash / Self-Pay

$132

Average discount available for prompt cash payment at this facility.

Insurance Median

$371

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: $132 (84%)

Insurance Median: $371 (236%)

Cash: $132 (84% of Medicare)

Ins. Median: $371 (236% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 236% of the Medicare baseline (a markup of 136%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Caresource Indiana Healthy Indiana Plan (Hip)	$84	54%
Managed Health Services (Mhs)	$84 - $158	54%
Managed Health Services (Mhs) Hoosier Care Connect	$84	54%
UnitedHealthcare	$84 - $393	54%
Caresource Indiana Hoosier Healthwise (Hhw)	$85	54%
Mdwise Hoosier Healthwise (Hhw)	$88	56%
Molina Healthcare	$103 - $106	66%
Blue Cross Blue Shield	$145 - $387	92%
Managed Health Services (Mhs) Healthy Indiana Plan (Hip)	$158	101%
Mdwise Healthy Indiana Plan (Hip)	$158	101%
Communicare Advantage	$163	104%
Caresource Indiana Just4Me	$238	152%
Aetna	$416	265%
Multiplan	$528 - $561	336%
Cigna	$561	357%
Encore Health Network	$561	357%
Prime Health	$561	357%
Ppom	$581	370%
Intercommunity Health Network (Ihn)	$594	378%

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 $132.
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 Norton Scott 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.