CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Page Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $132
Cash Discount Price: $155
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Page Hospital is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $155. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.05x the Medicare baseline. Located in 501 North Navajo Drive, Page, AZ.

Cash / Self-Pay

$155

Average discount available for prompt cash payment at this facility.

Insurance Median

$132

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: $155 (123%)

Insurance Median: $132 (105%)

Cash: $155 (123% of Medicare)

Ins. Median: $132 (105% 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
Arizona Physicians Ipa	$24 - $122	19%
Banner University Health Plan	$24 - $198	19%
Health Choice Arizona, Inc.	$24 - $241	19%
Health Net	$24 - $293	19%
Mercy Care	$24 - $198	19%
Humana	$34 - $127	27%
Plotkin Health	$45 - $168	36%
Aetna	$49 - $340	39%
Banner Health	$52 - $198	41%
Blue Cross Blue Shield	$52 - $295	41%
Care 1St	$52 - $198	41%
Cigna	$52 - $344	41%
Gila River Health Care Corporation	$52 - $198	41%
Kaiser Foundation Health Plan	$52 - $198	41%
Triwest Healthcare Alliance Corp - Va Ccn	$52 - $198	41%
Upmc Health Plan	$52 - $198	41%
Wellpoint	$52 - $198	41%
Carelon	$55 - $208	44%
Arizona Priority Care	$58 - $218	46%
Devoted Health Services	$58 - $218	46%
Gold Kidney Health Plan	$58 - $218	46%
Quiktrip Corporation	$69 - $262	55%
Coconino County Sheriff'S Department	$72 - $273	57%
Oscar Health Plan	$87 - $327	69%
Provider Network Of America	$89 - $337	70%
Arizona Medical Network	$94 - $355	74%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi)	$94 - $355	74%

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 $155.
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 Page 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.