CMS Price Transparency Data
Screening mammogram (both breasts)
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 77067 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77067
- Insurance Median: $212
- Cash Discount Price: $584
- vs. Medicare Baseline: 1.68x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at AHMC Anaheim Regional Medical Center is $212. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $584. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.68x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$584
Average discount available for prompt cash payment at this facility.
Insurance Median
$212
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: $584 (463%)
Insurance Median: $212 (168%)
Cash: $584 (463% of Medicare)
Ins. Median: $212 (168% 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 |
|---|---|---|
| Netcare Life And Health Insurance | $31 - $269 | 25% |
| Advance Clinical Research Institute | $37 - $323 | 29% |
| Ahmc Reciprocity Agreement | $37 - $323 | 29% |
| Memorial Healthcare Ipa | $37 - $323 | 29% |
| Medical Acquisition Company | $49 - $431 | 39% |
| Msi/Medical Services For Indigents | $52 | 41% |
| Affiliated Doctors Of Orange County | $55 - $485 | 44% |
| Genesis Healthcare Ipa Ancillary | $55 | 44% |
| Medicare (plans) | $62 - $538 | 49% |
| Davita Heatlhcare Partners Plan Inc | $66 - $582 | 52% |
| Healthcare Partners Commercial | $66 - $582 | 52% |
| Huntington Memorial Hospital | $66 - $582 | 52% |
| Blue Cross Blue Shield | $74 - $648 | 59% |
| Monarch Health Plan | $74 - $731 | 59% |
| Veterans Administration | $75 | 59% |
| Affiliated Health Fund | $86 - $754 | 68% |
| Allnet Preferred Provider | $86 - $754 | 68% |
| Care First | $86 - $754 | 68% |
| Interplan | $86 - $754 | 68% |
| Orange County Preferred Provider Organization | $86 - $808 | 68% |
| Private Healthcare Systems | $86 - $754 | 68% |
| Capp Care | $92 - $808 | 73% |
| Choicecare | $92 - $808 | 73% |
| Corvel | $92 - $808 | 73% |
| Multiplan Inc | $92 - $808 | 73% |
| Health Net Inc | $94 - $827 | 74% |
| Prospect Medical Group | $97 | 77% |
| National Provider Network | $98 - $862 | 78% |
| Three Rivers Providers Network | $98 - $862 | 78% |
| Alta Los Angeles Hospital | $100 | 79% |
| Prospect Health Plan | $100 - $167 | 79% |
| Tricare | $101 | 80% |
| First Health | $105 - $915 | 83% |
| Aetna | $106 - $294 | 84% |
| Aids Health Foundation | $106 - $119 | 84% |
| Alignment Health Plan | $106 | 84% |
| Allied Physicians | $106 - $162 | 84% |
| Altamed Health Network | $106 - $119 | 84% |
| Apa Aco Inc | $106 | 84% |
| Avanti | $106 - $129 | 84% |
| Beverly Hospital | $106 - $119 | 84% |
| Brand New Day | $106 - $135 | 84% |
| Caloptima | $106 - $167 | 84% |
| Central Health Of California | $106 | 84% |
| Healthcare Partners | $106 - $119 | 84% |
| Healthnet | $106 | 84% |
| Heritage Provider Network | $106 - $161 | 84% |
| Humana | $106 | 84% |
| Kaiser Foundation Hospitals | $106 - $119 | 84% |
| Pacificare | $106 | 84% |
| Scan Health Plan | $106 | 84% |
| Seoul Medical Group | $106 - $108 | 84% |
| Wellcare | $106 | 84% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $108 | 86% |
| Emanate Health | $108 - $135 | 86% |
| Innovative Integrated Health (Iih)/Orange County Pace | $108 | 86% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $108 | 86% |
| Monarch Healthcare Medical Group | $108 | 86% |
| Private Pay Flat Rate | $108 - $310 | 86% |
| Self-Pay | $108 | 86% |
| Talbert Medical Group | $108 - $119 | 86% |
| Health Payors Organization | $111 - $969 | 88% |
| Nchp | $111 | 88% |
| Align Senior Care | $112 | 89% |
| Applecare Medical Group | $119 | 94% |
| Health Net | $119 | 94% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $119 | 94% |
| Healthy Way La | $119 | 94% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $119 | 94% |
| Hollywood Presbyterian Medpoint Mcal | $119 | 94% |
| Medi-Cal | $119 | 94% |
| Medical Safety Net Program | $119 | 94% |
| Non Contracted Medi-Cal | $119 | 94% |
| Ahmc Health Self-Insurance Epo | $123 - $135 | 97% |
| Knox-Keene Act | $123 - $135 | 97% |
| Non Contracted Commercial | $123 - $1,077 | 97% |
| UnitedHealthcare | $153 - $382 | 121% |
| Cigna | $190 | 150% |
| Blue Shield Of California | $1,165 - $1,396 | 923% |