CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Bellin Health Oconto Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $298
  • Cash Discount Price: $310
  • vs. Medicare Baseline: 1.90x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Bellin Health Oconto Hospital is $298. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $310. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.90x the Medicare baseline. Located in 820 Arbutus Ave, Oconto, WI.
Cash / Self-Pay
$310

Average discount available for prompt cash payment at this facility.

Insurance Median
$298

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: $310 (197%)
Insurance Median: $298 (190%)
Cash: $310 (197% of Medicare)
Ins. Median: $298 (190% 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
Blue Cross Blue Shield $122 - $259 78%
Community Care $122 - $203 78%
Humana $122 - $203 78%
My Choice $122 - $203 78%
Network Health $122 - $507 78%
UnitedHealthcare $147 - $417 94%
Aetna $179 - $298 114%
Cigna $253 - $429 161%
Common Ground $261 - $446 166%
Chorus Community Health Plan $268 - $447 171%
Aspirus Arise $280 - $467 178%
Healthsmart $286 - $477 182%
Ihs(Claimsbridge) $286 - $477 182%
Medical College Of Wi $286 - $477 182%
Hps/Paymedix $294 - $530 187%
Wps Insurance $301 - $500 192%
Allied National $304 - $507 194%
First Health $304 - $507 194%
Galaxy Health $304 - $507 194%
Three Rivers Provider Network $322 - $536 205%
Trilogy $322 - $536 205%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 820 Arbutus Ave, Oconto, WI 54153
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals