CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Oroville Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $554
Cash Discount Price: $327
vs. Medicare Baseline: 4.39x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Oroville Hospital is $554. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $327. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 4.39x the Medicare baseline. Located in 2767 Olive Highway, Oroville, CA.

Cash / Self-Pay

$327

Average discount available for prompt cash payment at this facility.

Insurance Median

$554

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: $327 (259%)

Insurance Median: $554 (439%)

Cash: $327 (259% of Medicare)

Ins. Median: $554 (439% 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 439% of the Medicare baseline (a markup of 339%). 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
Blue Cross Blue Shield	$38 - $762	30%
Butte County	$48 - $241	38%
Cigna	$111 - $554	88%
Coventry Health Care	$111 - $554	88%
Health Net	$111 - $554	88%
Multiplan	$111 - $554	88%
Interplan	$118 - $589	93%
Three Rivers Provider Network	$118 - $589	93%
UnitedHealthcare	$118 - $589	93%
Beech Street	$125 - $624	99%
Healthstar	$125 - $624	99%
Health Payors Organization	$132 - $658	105%
Blue Shield Of California	$135 - $672	107%

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 $327.
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 Oroville 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.