CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: University of Alabama Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $134
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at University of Alabama Hospital is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.06x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$134

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)

Insurance Median: $134 (106%)

Ins. Median: $134 (106% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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
University Of Alabama	$45 - $238	36%
UnitedHealthcare	$49 - $258	39%
Aetna	$55 - $290	44%
Coventry	$58 - $384	46%
North Alabama Managed Care	$58 - $309	46%
Cigna	$60 - $318	48%
Comp One	$65 - $342	51%
Construction Claims Management	$67 - $355	53%
Alamed	$68 - $356	54%
Corvel	$72 - $380	57%
Evolutions	$72 - $428	57%
Healthcare Alliance	$72 - $380	57%
Novanet	$72 - $428	57%
Prime Health Services	$72 - $428	57%
Select Value Care	$72 - $380	57%
Starcare	$72 - $380	57%
Tethys	$72 - $380	57%
Multiplan	$74 - $390	59%
Department Of Labor	$76 - $404	60%
Geha	$76 - $404	60%
Gulf Health Plans	$76 - $404	60%
Heritage Summit Health	$76 - $404	60%
Humana	$76 - $404	60%
Mississippi Physicians	$76 - $404	60%
Phifer	$76 - $404	60%
Preferred Health Partnership	$76 - $404	60%
Southern Nuclear	$76 - $404	60%
Vantage Health Plan	$76 - $404	60%
Galaxy Health Network	$81 - $428	64%
National Provider Network	$81 - $428	64%
North Mississippi Health Link	$81 - $428	64%
Viva	$107	85%

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 $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77067.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Alabama Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77067.
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.