CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Indiana Regional Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $147
  • Cash Discount Price: $327
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Indiana Regional Medical Center is $147. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $327. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.94x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$327

Average discount available for prompt cash payment at this facility.

Insurance Median
$147

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: $327 (208%)
Insurance Median: $147 (94%)
Cash: $327 (208% of Medicare)
Ins. Median: $147 (94% 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.

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
Highmark Wholecare $69 - $147 44%
Highmark $90 - $318 57%
Humana $100 - $145 64%
Aetna $102 - $311 65%
Medicare (plans) $102 - $147 65%
United Mine Workers Of America $102 - $147 65%
UnitedHealthcare $102 - $363 65%
Ambetter / Centene $105 - $152 67%
Amerihealth Caritas $105 - $152 67%
Geisinger Health Plan $105 - $152 67%
Upmc Health Plan $109 - $873 69%
Tricare $145 - $908 92%
Cigna $147 - $320 94%
Geisinger $206 - $284 131%
Pa Health And Wellness Commercial $206 - $284 131%
Department Of Human Services And Torrance State Hospital $572 364%
Premier Comp Solutions, Llc $817 520%
Miscellaneous Commercial $908 578%
Pa Workers Compensation $908 578%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 Hospital Road, Indiana, PA 15701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals