CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Monroe County Medical Center

Billing Code: 77066 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$118

about 0.8× the $157 Medicare rate · typically $59–$188

modeled estimate · not a bill or quote

What this hospital charges insurers

$116

About the fair price

about $2 under the fair price · 0.7× Medicare

Medicare pays $157 Fair price $118 This hospital $116 Cash price $170 Hospital's list price $205

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

Highest price of the 9 KY hospitals we have prices for — worth calling around.

Cheapest $45 Priciest $116

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

A fair price for a Diagnostic mammogram (both breasts) is about $118 (about 0.8× the $157 Medicare rate). Monroe County Medical Center charges insurers about $116, or about $170 in cash — about the fair price. Located in Tompkinsville, KY.

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	$38 - $157	24%
Blue Cross Blue Shieldmajor	$89 - $144	57%
Humanamajor	$47 - $193	30%
+ 1 smaller / regional plan	$54 - $221

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 170), 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 Monroe County Medical Center 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 Monroe County Medical Center

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

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