CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: University of California Davis Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $115
Cash Discount Price: $233
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at University of California Davis Medical Center is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $233. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.91x the Medicare baseline. Located in 2315 Stockton Boulevard, Sacramento, CA.

Cash / Self-Pay

$233

Average discount available for prompt cash payment at this facility.

Insurance Median

$115

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: $233 (185%)

Insurance Median: $115 (91%)

Cash: $233 (185% of Medicare)

Ins. Median: $115 (91% 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
Adventist	$37 - $140	29%
Generic	$37 - $140	29%
Healthnet	$37 - $305	29%
Blue Cross Blue Shield	$100 - $115	79%
UnitedHealthcare	$104 - $534	82%
Blue Shield Senior	$105	83%
Dignity/Chw	$106	84%
Healthnet Senior	$106	84%
San Joaquin Health Plan Gmc	$110	87%
Carpenters H&W	$115	91%
Cement Masons Trust Fund	$115	91%
Delta	$115	91%
Healthcomp	$115	91%
Ironworkers	$115	91%
Joint Benefit Trust	$115	91%
Laborers Health And Welfare	$115	91%
Operating Engrs Health Welfare	$115	91%
Sierra Pacific Industries	$115	91%
Western Growers	$115	91%

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 $233.
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 University of California Davis Medical Center 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.