CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Washington Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $204
  • Cash Discount Price: $193
  • vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Washington Hospital is $204. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $193. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.62x the Medicare baseline. Located in 2000 Mowry Ave, Fremont, CA.
Cash / Self-Pay
$193

Average discount available for prompt cash payment at this facility.

Insurance Median
$204

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: $193 (153%)
Insurance Median: $204 (162%)
Cash: $193 (153% of Medicare)
Ins. Median: $204 (162% 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
Health Net/Healthy Family/Aim $59 47%
Alameda Alliance Ppo-All Other Plans $89 70%
Canopy-All Other Plans $151 120%
Blue Shield Eppo $157 124%
Kaiser - All Other Plans $160 127%
Blue Cross Blue Shield $164 - $215 130%
Health Net Sr Plus Hmo $164 130%
Aetna $169 - $210 134%
Alameda Alliance Mcr Adv $169 134%
Blue Shield Mcr Adv $169 134%
Brand New Day Mcr Adv - All Plans $169 134%
Canopy Mcr Adv $169 134%
Central Hlth Mcr Adv - All Plans $169 134%
Humana $169 - $267 134%
Kaiser Mcr Adv $169 134%
On Lok Senior Health Services-All Plans $169 134%
Tricare $169 134%
UnitedHealthcare $169 - $257 134%
Va (Triwest Ccn)-All Plans $169 134%
Healthnet Comm - All Other Plans $179 142%
Kaiser Medi-Cal $180 143%
Medi-Cal $180 143%
Cigna $184 - $238 146%
Blue Shield Hmo $200 158%
Pacific Health Alliance Epo $208 165%
Standford Health Services-All Plans $208 165%
County Of Santa Clara-All Plans $223 177%
Blue Shield Ppo - All Other Plans $232 184%
Pacific Foundation Epo $238 189%
Corvel-All Plans $252 200%
Interplan B-2 Ppo $252 200%
Masonic Homes Ppo-All Plans $252 200%
Multiplan Ppo-All Plans $252 200%
Pacific Health Alliance Ppo-All Other Plans $252 200%
Preferred Health Network-All Plans $252 200%
Interplan B-4 Ppo-All Other Plans $261 207%
Cna (Mailhandlers)-All Plans $267 211%
First Health -All Plans $267 211%
Pacific Foundation Ppo-All Other Plans $267 211%
Phcs/Private Healthcare Systems-All Plans $267 211%
Three Rivers Provider Network-All Plans $267 211%
Beech Street-All Plans $282 223%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Mowry Ave, Fremont, CA 94538
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals