CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Rockcastle County Hospital, Inc.

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $143
Cash Discount Price: $339
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Rockcastle County Hospital, Inc. is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $339. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.91x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.

Cash / Self-Pay

$339

Average discount available for prompt cash payment at this facility.

Insurance Median

$143

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: $339 (216%)

Insurance Median: $143 (91%)

Cash: $339 (216% of Medicare)

Ins. Median: $143 (91% 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
Passport Hp Hmo - All Plans	$50	32%
UnitedHealthcare	$68 - $128	43%
Tricare	$107	68%
Blue Cross Blue Shield	$110 - $143	70%
Caresource Mcaid	$128	82%
Coventry Mcaid-All Plans	$128	82%
Medicaid / KanCare	$128	82%
Molina Mcaid	$128	82%
Caresource Mcr Adv-All Other Plans	$143	91%
Humana	$143	91%
Molina Marketplace - All Other Plans	$143	91%
Molina Mcr Adv	$143	91%
Signature Mcr Adv-All Plans	$143	91%
Wellcare Mcr Adv-All Other Plans	$143	91%
Multiplan-All Plans	$354 - $403	226%
Prime Health Services-All Plans	$354 - $403	226%
Integrated Hp-All Plans	$371 - $422	236%
Corvel - All Plans	$375 - $427	239%
Center Care-All Plans	$396 - $450	252%
Cigna	$404 - $460	257%

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 $339.
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 Rockcastle County Hospital, Inc. 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.