CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Northwest Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $130
  • Cash Discount Price: $304
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Northwest Medical Center is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $304. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.03x the Medicare baseline. Located in 6200 North La Cholla Boulevard, Tucson, AZ.
Cash / Self-Pay
$304

Average discount available for prompt cash payment at this facility.

Insurance Median
$130

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: $304 (241%)
Insurance Median: $130 (103%)
Cash: $304 (241% of Medicare)
Ins. Median: $130 (103% 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
Aetna $43 - $569 34%
Cigna $43 - $285 34%
Humana $43 - $87 34%
Medicare (plans) $43 - $87 34%
Node Caremore Mcr Adv $43 - $87 34%
Scan Health Plan $43 - $87 34%
UnitedHealthcare $43 - $632 34%
Blue Cross Blue Shield $44 - $388 35%
Fresenius Health $44 - $88 35%
Node Non Par Hospice Agree $44 - $88 35%
Node Va $44 - $88 35%
Pascua Yaqui Tribe $44 - $87 35%
Triwest $44 - $88 35%
Magellan $45 - $191 36%
Node Banner Mcr Adv $45 - $91 36%
Node Clover Health Mcr Adv $45 - $89 36%
Node Devoted Health Mcr Adv $45 - $89 36%
Wellcare $45 - $91 36%
Ambetter / Centene $62 - $125 49%
Node Health Choice Health Exchange $65 - $130 51%
Health Net $70 - $140 55%
Node Fusion Network $79 - $159 63%
Node J Allen Inmate Health Svcs $84 - $168 67%
Department Of Veterans Affairs $87 69%
Tricare $87 69%
Veterans Eval Services $87 69%
Seven Corners $102 - $203 81%
Node Us Dept Of Labor $105 - $211 83%
Medicaid / KanCare $122 - $195 97%
Self Pay $203 - $455 161%
First Health Coventry $443 - $664 351%
Coventry Medical Center $506 - $758 401%
Multiplan $701 - $1,049 555%
Prime Health $717 - $1,074 568%
Healthsmart $760 - $1,138 602%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6200 North La Cholla Boulevard, Tucson, AZ 85741
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals