Elkhart General Hospital — Mammogram prices
← Hospital overviewVerified from Elkhart General Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
6 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| MA Digital Diag Mammo LT-SameDay Inpatient | 77065 CPT | $560 | $364 | $112 – $728 | — | |
| MA Digital Diag Mammo RT-SameDay Inpatient | 77065 CPT | $560 | $364 | $112 – $728 | — | |
| MA Digital Diag Mammo-Same Day Inpatient | 77066 CPT | $729 | $474 | $146 – $948 | — | |
| MA Digital Diagnostic Mammo RT Inpatient | 77065 CPT | $560 | $364 | $112 – $728 | — | |
| MA Digital Screening Mammo (BCCP) Inpatient | 77067 CPT | $496 | $322 | $99.20 – $645 | — | |
| MA Digital UL DI Mammo Special RT Inpatient | 77065 CPT | $560 | $364 | $112 – $728 | — |