CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Sauk Prairie Hospital

Billing Code: 77067 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$114
about 0.9× the $126 Medicare rate · typically $80–$281
modeled estimate · not a bill or quote
What this hospital charges insurers
$119
About the fair price
about $5 over the fair price · 0.9× Medicare
Medicare pays $126 Fair price $114 This hospital $119 Cash price $261 Hospital's list price $478

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $34 Priciest $119

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

A fair price for a Screening mammogram (both breasts) is about $114 (about 0.9× the $126 Medicare rate). Sauk Prairie Hospital charges insurers about $119, or about $261 in cash — about the fair price. Located in Prairie Du Sac, WI.

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 $34 - $551 27%
Blue Cross Blue Shieldmajor $28 - $533 22%
Humanamajor $34 - $119 27%
Dean Health Plan $34 - $196 27%
Quartz $34 - $325 27%
+ 1 smaller / regional plan $183 - $464

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 260 26Th Street, Prairie Du Sac, WI 53578
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals