CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Canyon Vista Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $318
Cash Discount Price: $294
vs. Medicare Baseline: 2.52x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Canyon Vista Medical Center is $318. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $294. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 2.52x the Medicare baseline. Located in 5700 East Highway 90, Sierra Vista, AZ.

Cash / Self-Pay

$294

Average discount available for prompt cash payment at this facility.

Insurance Median

$318

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: $294 (233%)

Insurance Median: $318 (252%)

Cash: $294 (233% of Medicare)

Ins. Median: $318 (252% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 252% of the Medicare baseline (a markup of 152%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$89 - $468	70%
Arizona Physicians Ipa Inc	$90 - $95	71%
Medicare (plans)	$90	71%
UnitedHealthcare	$90 - $318	71%
Veteran Family Member Program	$90	71%
University Phyicians Inc	$91	72%
Humana	$92	73%
Wellcare By Allwell	$92	73%
Azch-Complete Care Plan	$95	75%
Ambetter / Centene	$109	86%
Liberty Healthshare	$157	124%
Government Employees Health Association	$318	252%
Cigna	$434	344%
Gravie Administrative Services Llc	$452	358%
Meritain Health	$468	371%
Blue Cross Blue Shield	$473	375%
Summit Administration Services-Icl 1144	$473	375%
Summit Administrators, Inc.	$473	375%

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 $294.
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 Canyon Vista Medical Center 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.