CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Deaconess Henderson Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $387
  • Cash Discount Price: $229
  • vs. Medicare Baseline: 2.47x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Deaconess Henderson Hospital is $387. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $229. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.47x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$229

Average discount available for prompt cash payment at this facility.

Insurance Median
$387

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: $229 (146%)
Insurance Median: $387 (247%)
Cash: $229 (146% of Medicare)
Ins. Median: $387 (247% 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 247% of the Medicare baseline (a markup of 147%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Caresource In Marketplace $70 45%
Ky Racing Health & Welfare Fund $70 - $221 45%
Self-Pay $70 - $229 45%
UnitedHealthcare $100 - $597 64%
Aetna $107 - $739 68%
Alliance Coal $120 - $370 76%
Center Care Narrow $120 - $434 76%
Center Care Open Access $120 - $472 76%
Cigna $120 - $488 76%
Claimdoc $120 - $457 76%
Hopetrust $120 76%
Hstechnology $120 - $457 76%
Amish And Mennonite Of Western Ky $130 - $526 83%
First Health Network (Coventry) $140 - $648 89%
Healthlink $140 - $572 89%
Iu Health Plans $140 - $391 89%
Phcs/Multiplan $140 - $686 89%
Medicaid / KanCare $152 97%
Humana $154 - $610 98%
Coventry National Network $160 - $610 102%
Webster County Detention Center $160 - $610 102%
Henderson County Detention Center $180 - $686 115%
Mytru Advantage $221 141%
Blue Cross Blue Shield $347 - $433 221%
One Care $379 241%
Encircle/Encore Prime $385 - $411 245%
Encircle/Encore Combined $422 - $441 269%
Sagamore $671 427%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals