CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Medical Center Enterprise

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $81
  • Cash Discount Price: $636
  • vs. Medicare Baseline: 0.64x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Medical Center Enterprise is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $636. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.64x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$636

Average discount available for prompt cash payment at this facility.

Insurance Median
$81

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%)
Cash / Self-Pay: $636 (504%)
Insurance Median: $81 (64%)
Cash: $636 (504% of Medicare)
Ins. Median: $81 (64% 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.

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
Medicaid / KanCare $15 - $53 12%
Blue Cross Blue Shield $33 - $78 26%
Humana $39 - $78 31%
Medicare (plans) $39 - $78 31%
Select Health $39 - $79 31%
UnitedHealthcare $39 - $200 31%
Aetna $40 - $2,287 32%
Covenant Hospice $40 - $80 32%
Dayspring Hospice $40 - $80 32%
Healthspring $40 - $80 32%
Node Clover Mcr Adv $40 - $80 32%
Node Devoted Health Mcr Adv $40 - $80 32%
Node Hospice Non Par $40 - $80 32%
Node Va $40 - $80 32%
Southerncare Hospice $40 - $80 32%
Wiregrass Hospice $40 - $80 32%
Eon Health $41 - $82 32%
Node Wellcare Mcr Adv $41 - $81 32%
Ambetter / Centene $60 - $120 48%
Cigna $70 - $730 55%
Occunet $70 - $139 55%
Tricare $74 59%
Node Champva $78 62%
Veterans Eval Services $78 62%
Al Breast And Cervical Program $80 63%
Node Us Dept Of Labor $96 - $192 76%
Self Pay $293 - $980 232%
American Employee Alliance $1,304 - $1,307 1033%
Alamed $1,957 - $1,961 1550%
Affordable Health $2,283 - $2,287 1808%
Health Choice $2,283 - $2,287 1808%
Novanet Ppo $2,283 - $2,287 1808%
Coventry Work Comp Al $2,400 - $2,405 1901%
Multiplan $2,413 - $2,582 1911%
Wc Dept Ind Relations $2,609 - $2,614 2067%
Corvel $2,772 - $2,778 2196%
Galaxy Health $2,935 - $2,941 2325%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals