CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Chinese Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $241
Cash Discount Price: $569
vs. Medicare Baseline: 1.91x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Chinese Hospital is $241. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $569. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.91x the Medicare baseline. Located in 845 Jackson St, San Francisco, CA.

Cash / Self-Pay

$569

Average discount available for prompt cash payment at this facility.

Insurance Median

$241

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: $569 (451%)

Insurance Median: $241 (191%)

Cash: $569 (451% of Medicare)

Ins. Median: $241 (191% 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
Aetna	$169 - $667	134%
Cchp Mcr Adv	$169	134%
Jade Mcr Adv	$169	134%
Blue Cross Blue Shield	$170 - $232	135%
Medi-Cal	$180	143%
San Francisco Health Plan- All Plans	$180	143%
Jade-All Other Plans	$185	147%
On Lok Mcr Adv-All Plans	$185	147%
Hp Of San Mateo Medi-Cal	$221	175%
Hp Of San Mateo Health Kids/Health Worx-All Other	$239	189%
Blue Shield Medi-Cal	$243	192%
Asian Medical Group Medi-Cal Op Only	$252	200%
Blue Shield - All Other Plans	$261	207%
Health Net-All Plans	$302	239%
Cigna	$313	248%
Jade Medi-Cal	$324	257%
Cchp-All Other Plans	$484	383%
Hp Of San Mateo Mcr Adv	$512	406%
Asian Medical Group Mcare Op Only-All Other Plans	$569	451%
Bay Area Accountable Care Mcare	$569	451%
Bay Area Accountable Care - All Other Plans	$1,024	811%

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 $569.
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 Chinese 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.