CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Community Memorial Hospital - Ventura

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $119
Cash Discount Price: $231
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Community Memorial Hospital - Ventura is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $231. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.94x the Medicare baseline. Located in 147 North Brent Street, Ventura, CA.

Cash / Self-Pay

$231

Average discount available for prompt cash payment at this facility.

Insurance Median

$119

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: $231 (183%)

Insurance Median: $119 (94%)

Cash: $231 (183% of Medicare)

Ins. Median: $119 (94% 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
Valley Care	$55 - $185	44%
Ventura County Health Care Plan	$68 - $124	54%
Gold Coast Health Plan	$96 - $179	76%
Medicaid / KanCare	$96 - $175	76%
Blue Cross Blue Shield	$106 - $144	84%
California Workers Compensation	$106	84%
Medicare (plans)	$106 - $108	84%
Non Contracted	$106 - $119	84%
Tricare	$106	84%
Wellcare Of California	$106	84%
Alignment Health Plan	$108	86%
Humana	$108	86%
Scan Health Plan	$108	86%
UnitedHealthcare	$108 - $204	86%
Seaview	$111	88%
Aetna	$118 - $851	93%
Medi-Cal	$119	94%
Multiplan	$164 - $298	130%
Cigna	$218	173%
Health Net Commercial	$508	402%
Kaiser Commercial	$524	415%
Blue Shield Epn	$574	455%
Blue Shield Commercial	$643	509%

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 $231.
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 Community Memorial Hospital - Ventura 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.