CMS Price Transparency Data
Screening mammogram (both breasts)
Facility: Scripps Memorial Hospital La Jolla
Billing Code: 77067 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77067
- Insurance Median: $152
- Cash Discount Price: $181
- vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Scripps Memorial Hospital La Jolla is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $181. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.20x the Medicare baseline. Located in 9888 Genesee Avenue, La Jolla, CA.
Cash / Self-Pay
$181
Average discount available for prompt cash payment at this facility.
Insurance Median
$152
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: $181 (143%)
Insurance Median: $152 (120%)
Cash: $181 (143% of Medicare)
Ins. Median: $152 (120% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Radys Cpmg [803] | $58 | 46% |
| Aetna | $109 - $365 | 86% |
| Astiva Mcr Adv [464] | $109 | 86% |
| Bc Mcr Adv [830] | $109 | 86% |
| Blue Cross Blue Shield | $109 - $191 | 86% |
| Bs Mcr Adv [829] | $109 | 86% |
| Central Health Mcr Adv [441] | $109 | 86% |
| Cigna | $109 - $286 | 86% |
| Clever Care Mcr Adv [465] | $109 | 86% |
| D-Snp Mcr Adv [889] | $109 | 86% |
| Dsnp/Csnp - Generic [458] | $109 | 86% |
| Family Health Centers Pace Mcr Adv Hmo [556] | $109 | 86% |
| Family Health Centers Pace Medi-Cal [555] | $109 | 86% |
| Gary And Mary West Pace Medi-Cal Hmo [557] | $109 | 86% |
| Gpmg/Altura - Mcr Adv [888] | $109 | 86% |
| Hn Mcr Adv [832] | $109 | 86% |
| Humana | $109 | 86% |
| Integrated Health Partners - Mcr Adv [895] | $109 | 86% |
| Kaiser Northern Ca Region Mcr Adv [386] | $109 | 86% |
| La Care Mcr Adv Hmo [612] | $109 | 86% |
| Medicare (plans) | $109 | 86% |
| Mpmg Mcr Adv [836] | $109 | 86% |
| Mpmg [800] | $109 | 86% |
| Ocn Mcr Adv [890] | $109 | 86% |
| San Diego Pace Medi-Cal [553] | $109 | 86% |
| Scan Mcr Adv [835] | $109 | 86% |
| Scan [500] | $109 | 86% |
| Scan [818] | $109 | 86% |
| Sharp Comm Med Grp Mcr Adv [840] | $109 | 86% |
| Sharp Health Plan Mcr Adv [531] | $109 | 86% |
| Sharp Health Plan Mcr Adv [897] | $109 | 86% |
| Sharp Rees Stealy Med Grp Mcr Adv [841] | $109 | 86% |
| St Paul'S Pace Medi-Cal [551] | $109 | 86% |
| Ucsd Mcr Adv [873] | $109 | 86% |
| Uh Mcr Adv [831] | $109 | 86% |
| Uh Palomar Health Mcr Adv [885] | $109 | 86% |
| UnitedHealthcare | $109 - $253 | 86% |
| Alignment Health Plan [443] | $112 | 89% |
| Mc Alignment [917] | $137 - $152 | 109% |
| Mc Blue Shield Promise Health Plan [914] | $137 - $152 | 109% |
| Mc Blue Shield [902] | $137 - $152 | 109% |
| Mc Health Net [904] | $137 - $152 | 109% |
| Mc Scan [905] | $137 - $152 | 109% |
| Mc United [906] | $137 - $152 | 109% |
| Bc [814] | $160 | 127% |
| Imperial County Phys Med Group [855] | $160 - $247 | 127% |
| Integrated Health Partners [894] | $160 | 127% |
| Perlman Med Group [899] | $160 | 127% |
| Sharp Comm Med Grp [812] | $160 - $328 | 127% |
| Sharp Rees Stealy Med Grp [811] | $160 - $328 | 127% |
| Ucsd [807] | $160 - $328 | 127% |
| Centivo [581] | $166 | 131% |
| Health Net [340] | $173 - $272 | 137% |
| Prime Healthcare [614] | $185 | 147% |
| Prospect Med Group [893] | $190 | 150% |
| Blue Shield [230] | $238 - $259 | 189% |
| Hn [815] | $243 | 192% |
| Bs [816] | $247 - $257 | 196% |
| Uh [819] | $253 | 200% |
| Kaiser Northern Ca Region Hmo/Ppo [384] | $276 | 219% |
| Kaiser [380] | $276 | 219% |
| Kaiser [383] | $276 | 219% |
| Rady Children'S Hospital [825] | $297 | 235% |
| Palomar Health [892] | $328 | 260% |
| Veba Med Grp [813] | $328 | 260% |
| Multi Plan Network [470] | $514 | 407% |
| First Health Network [330] | $543 | 430% |
| Pnoa [615] | $543 | 430% |
| Choice Care Network [270] | $579 | 459% |
| Healthsmart [350] | $579 | 459% |