Screening mammogram (both breasts)
Facility: John Muir Medical Center - Walnut Creek Campus
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $298
- Cash Discount Price: $316
- vs. Medicare Baseline: 2.36x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 236% of the Medicare baseline (a markup of 136%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Jmpn Canopy Hn [1640000011] | $86 | 68% |
| UnitedHealthcare | $86 - $165 | 68% |
| United Behavioral Health [1048103] | $113 | 90% |
| Health Net-Network Mcare [1028127] | $126 | 100% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [1179012] | $128 | 101% |
| Humana | $128 - $582 | 101% |
| Medicare (plans) | $128 - $561 | 101% |
| Veterans Administration [1051113] | $128 | 101% |
| Tricare | $134 | 106% |
| Generic Commercial/Indemnity [1017001] | $160 - $280 | 127% |
| Generic Hmo [1018103] | $160 | 127% |
| Generic Ppo [1021104] | $160 | 127% |
| Blue Shield Hmo [1006103] | $165 - $168 | 131% |
| Blue Shield-Network [1006026] | $165 - $168 | 131% |
| Blue Shield Ppo [1006104] | $168 - $177 | 133% |
| Health Net Hmo [1028103] | $171 | 135% |
| Health Net Ppo [1028104] | $171 | 135% |
| Health Net-Network [1028026] | $171 | 135% |
| Cigna | $181 | 143% |
| Canopy Hn Hmo [1166103] | $235 | 186% |
| Carecentrix [1011001] | $280 | 222% |
| Aps Healthcare [1003103] | $316 | 250% |
| Aetna | $384 - $392 | 304% |
| Carelon Behavioral Health [1050104] | $386 | 306% |
| Fortified Provider Network [1063104] | $386 | 306% |
| Medigap [1036001] | $386 | 306% |
| Three Rivers Provider Network [1073104] | $386 | 306% |
| Contra Costa Health Plan Hmo [1013103] | $421 | 333% |
| Blue Cross Blue Shield | $456 - $1,079 | 361% |
| Western Health Advantage Hmo [1053103] | $491 - $561 | 389% |
| Federal Correction Institute [1062104] | $561 | 444% |
| First Health [1016104] | $561 - $596 | 444% |
| Healthsmart - Pka Interplan [1031104] | $561 | 444% |
| National Provider Network/Plancare America [1069104] | $561 | 444% |
| Networks By Design [1084104] | $561 | 444% |
| Pponext [1072104] | $561 | 444% |
| Sutter Preferred Health Plan [1044104] | $561 | 444% |
| Kaiser Hmo [1033103] | $568 | 450% |
| Health Management Network [1066104] | $596 | 472% |
| Healthcomp [1089104] | $596 - $1,079 | 472% |
| Galaxy Health Network [1064104] | $631 | 500% |
| Integrated Health Plan [1075104] | $631 | 500% |
| Brms [1091104] | $1,079 | 855% |
| Delta Health Systems [1032104] | $1,079 | 855% |
| Empire Plan [1092104] | $1,079 | 855% |
| Donor Network West [1008103] | $4,000 | 3168% |