CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Black River Memorial Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $352
Cash Discount Price: $874
vs. Medicare Baseline: 2.24x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Black River Memorial Hospital is $352. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $874. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.24x the Medicare baseline. Located in 711 W Adams St, Black River Falls, WI.

Cash / Self-Pay

$874

Average discount available for prompt cash payment at this facility.

Insurance Median

$352

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: $874 (557%)

Insurance Median: $352 (224%)

Cash: $874 (557% of Medicare)

Ins. Median: $352 (224% 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 224% of the Medicare baseline (a markup of 124%). 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
Blue Cross Blue Shield	$34 - $854	22%
Group Health Cooperative Of Eau Claire	$34 - $942	22%
My Choice Wisconsin, Inc.	$34 - $495	22%
Quartz Health Solutions, Inc	$34 - $884	22%
UnitedHealthcare	$34 - $916	22%
Humana	$44 - $903	28%
Security Health Plan	$95 - $907	61%
The Alliance	$95 - $990	61%
Corvel	$231 - $592	147%
Multiplan	$284 - $961	181%
Triology Health Solutions	$340 - $922	217%
Medica	$353 - $907	225%
Association Benefits Solution	$359 - $922	229%
Family Health Center Of Marshfield	$359 - $922	229%
First Health Group Corporation	$359 - $922	229%
Provider Network Of America	$359 - $922	229%
Cigna	$367 - $942	234%
Cofinity	$367 - $942	234%
Coventry Health Care	$367 - $942	234%
Custom Benefit Administrators	$367 - $942	234%
Healthpartners, Inc.	$367 - $942	234%
Wisconsin Physicians Service Insurance Corp	$367 - $942	234%
Chorus	$370 - $952	236%

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 $874.
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 Black River Memorial Hospital 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.