CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Upland Hills Health

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $283
Cash Discount Price: $303
vs. Medicare Baseline: 1.80x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Upland Hills Health is $283. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $303. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.80x the Medicare baseline. Located in 800 Compassion Way, Dodgeville, WI.

Cash / Self-Pay

$303

Average discount available for prompt cash payment at this facility.

Insurance Median

$283

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: $303 (193%)

Insurance Median: $283 (180%)

Cash: $303 (193% of Medicare)

Ins. Median: $283 (180% 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
Ghc Of Eau Claire	$62	39%
Ghc Of Sc Wi	$62 - $436	39%
Mhs	$62 - $179	39%
UnitedHealthcare	$92 - $304	59%
Humana	$146 - $577	93%
Blue Cross Blue Shield	$179 - $525	114%
Icare	$179	114%
Medical Associates	$179 - $481	114%
Security Health Plan	$179	114%
Dean Health Plan	$283 - $446	180%
Quartz	$327	208%
Alliance	$362 - $392	231%
Wps	$391 - $403	249%
Cigna	$478 - $534	304%
Multiplan	$564	359%

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 $303.
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 Upland Hills Health 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.