CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Kingman Regional Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $128
Cash Discount Price: $123
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Kingman Regional Medical Center is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.01x the Medicare baseline. Located in 3269 Stockton Hill Road, Kingman, AZ.

Cash / Self-Pay

$123

Average discount available for prompt cash payment at this facility.

Insurance Median

$128

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: $123 (97%)

Insurance Median: $128 (101%)

Cash: $123 (97% of Medicare)

Ins. Median: $128 (101% 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
UnitedHealthcare	$25 - $307	20%
Health Choice Generations	$35 - $123	28%
Hpn Sierra Nevada Mcr Adv	$35 - $123	28%
Medicare (plans)	$35 - $123	28%
Triwest - All Plans	$35 - $123	28%
Care 1St Mcr Adv-All Other Plans	$36 - $129	29%
Humana	$36 - $397	29%
Mercy Care Adv Snp-All Other Plans	$38 - $135	30%
Geo Group Chc Az State Prison-All Plans	$52 - $184	41%
Aetna	$54 - $357	43%
Health Plan Of Nevada-All Other Plans	$54 - $349	43%
Health Choice Hie Exchange	$59 - $463	47%
Multiplan-All Plans	$59 - $463	47%
Health Choice- All Other Plans	$86 - $307	68%
Three Rivers-All Plans	$113 - $533	90%
America'S Choice Provider Network-All Plans	$117 - $550	93%
Az Foundation-All Plans	$123 - $579	97%
Mediversal-All Plans	$123 - $579	97%
One Health Plan-All Plans	$123 - $579	97%
Universal Health-All Plans	$123 - $579	97%
Apipa - Ahcccs-All Other Plans	$131 - $579	104%
Care 1St Mcaid	$131 - $608	104%
Health Choice Az	$131 - $579	104%
Blue Cross Blue Shield	$138 - $330	109%
Mercy Care Ahcccs Ddd	$145 - $637	115%
Cigna	$201 - $521	159%

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 $123.
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 Kingman Regional 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.