CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Alameda Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $171
Cash Discount Price: $285
vs. Medicare Baseline: 1.35x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Alameda Hospital is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $285. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.35x the Medicare baseline. Located in 2070 Clinton Avenue, Alameda, CA.

Cash / Self-Pay

$285

Average discount available for prompt cash payment at this facility.

Insurance Median

$171

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: $285 (226%)

Insurance Median: $171 (135%)

Cash: $285 (226% of Medicare)

Ins. Median: $171 (135% 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.

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
Kaiser Medi-Cal Managed Care [1026106]	$88	70%
Aetna	$128 - $418	101%
Blue Cross Blue Shield	$128 - $418	101%
Brown Toland Medical Group Alternate [1049301]	$128	101%
Brown Toland Medical Group [1049001]	$128	101%
Brown Toland Mgd Mcr Alternate [1802]	$128	101%
Medicare (plans)	$128	101%
Alameda Alliance Commercial Alternate [4801]	$171	135%
Alameda Alliance Mgd Mcal Alternate [2801]	$171	135%
Alameda Alliance Non-Verified [1002303]	$171	135%
Alameda Alliance [1002106]	$171	135%
Alameda Alliance [1002206]	$171	135%
Mc Alameda Alliance Capitation [1002103]	$171	135%
UnitedHealthcare	$206 - $273	163%
Blue Shield [1006001]	$302 - $356	239%
Kaiser Commercial [1026001]	$371	294%
Health Net [1022001]	$641	508%
Cigna	$816	646%

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 $285.
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 Alameda 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.