CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Ventura County Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $211
  • Cash Discount Price: $272
  • vs. Medicare Baseline: 1.67x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Ventura County Medical Center is $211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $272. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.67x the Medicare baseline. Located in 300 Hillmont Avenue, Ventura, CA.
Cash / Self-Pay
$272

Average discount available for prompt cash payment at this facility.

Insurance Median
$211

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: $272 (215%)
Insurance Median: $211 (167%)
Cash: $272 (215% of Medicare)
Ins. Median: $211 (167% 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
Vchcp-All Plans $103 82%
Tricare $140 111%
Alignment Hp - All Plans $144 114%
Blue Shield Mcr Adv $144 114%
Humana $144 114%
UnitedHealthcare $149 - $297 118%
Healthnet Mcr Adv $152 120%
Clinicas Mcr Adv $165 131%
Americas Hp Mcr Adv Ip/Op Only $166 131%
Scan-All Plans $173 137%
Hpn Ip/Op Only Medi-Cal $180 143%
Kaiser Medi-Cal Ip/Op Only $180 143%
Medi-Cal $180 143%
Western Growers-All Plans $181 143%
Clinicas Comm - All Other Plans $188 149%
Imperial-All Plans $188 149%
Ntwrk Provdrs-All Plans $188 149%
Kaiser Mcal Pediatric Ip/Op Only $198 157%
Blue Shield Epn $211 167%
Americas Hp Comm Ip/Op Only-All Other Plans $217 172%
Clinicas Mcal $225 178%
Americas Hp Mcal Ip/Op Only $234 185%
Healthnet Comm-All Other Plans $299 237%
Kaiser Comm Pediatric Ip/Op Only $299 237%
Cigna $314 249%
Aetna $315 - $543 250%
Gold Coast Medi-Cal-All Plans $317 251%
Blue Shield Comm - All Other Plans $336 266%
Multiplan/Claritev-All Plans $434 344%
Three Rivers Ip/Op Only-All Plans $434 344%
Ppo Next Ip/Op Only-All Plans $489 387%
Blue Cross Blue Shield $502 398%
Kaiser Mcr Pediatric Ip/Op Only $543 430%
Medicare (plans) $543 430%
Hpn Comm Ip/Op Only-All Other Plans $771 611%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Hillmont Avenue, Ventura, CA 93003
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals