CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Crossing Rivers Health Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $532
Cash Discount Price: $560
vs. Medicare Baseline: 3.39x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Crossing Rivers Health Medical Center is $532. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $560. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 3.39x the Medicare baseline. Located in 37868 Us Hwy 18, Prairie Du Chien, WI.

Cash / Self-Pay

$560

Average discount available for prompt cash payment at this facility.

Insurance Median

$532

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: $560 (357%)

Insurance Median: $532 (339%)

Cash: $560 (357% of Medicare)

Ins. Median: $532 (339% 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 339% of the Medicare baseline (a markup of 239%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Amerigroup Mcaid-All Other Plans	$99	63%
Iowa Total Care Mcaid-All Plans	$99	63%
Amerigroup Mcr Adv	$235	150%
Blue Cross Blue Shield	$235 - $543	150%
Security Hlth Mcr Adv	$235	150%
UnitedHealthcare	$235	150%
Humana	$238 - $538	152%
Quartz - All Plans	$448	285%
Dean Health Plan - All Plans	$532	339%
Medica Comm - All Other Plans	$532	339%
Medica Hp Solutions	$532	339%
Security Hlth Comm - All Other Plans	$532	339%
Health Trad Hp - All Plans	$538	343%
Wea Provider Ntwrk - All Plans	$538	343%
Cigna	$543	346%
First Health - All Plans	$543	346%
Geha - All Plans	$543	346%
Group Health Co-Op - All Plans	$543	346%
Health Partners - All Plans	$543	346%
Medical Associates Hp - All Plans	$543	346%
Preferred Health Choice - All Plans	$543	346%
Wps - All Plans	$543	346%

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 $560.
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 Crossing Rivers Health Medical Center 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.