CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: El Centro Regional Medical Center

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$145

about 1.2× the $126 Medicare rate · typically $109–$268

modeled estimate · not a bill or quote

What this hospital charges insurers

$159

About the fair price

about $14 over the fair price · 1.3× Medicare

Medicare pays $126 Fair price $145 This hospital $159 Cash price $319 Hospital's list price $455

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $36 Priciest $159

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Screening mammogram (both breasts) is about $145 (about 1.2× the $126 Medicare rate). El Centro Regional Medical Center charges insurers about $159, or about $319 in cash — about the fair price. Located in El Centro, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$136 - $228	108%
Blue Cross Blue Shieldmajor	$136 - $455	108%
Aetnamajor	$200	158%
Cignamajor	$341	270%
Humanamajor	$423	335%
Ambetter (Centene)	$469	371%
Health Net	$136 - $410	108%
Molina	$136 - $500	108%
+ 9 smaller / regional plans	$136 - $455

Government programs also on file: Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 319), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77067.

Insurance Before you use insurance

Call your insurance company to confirm El Centro Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 77067.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at El Centro Regional Medical Center

Compare: Screening mammogram (both breasts) at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.