CMS Price Transparency Data
Screening mammogram (both breasts)
Facility: Whittier Hospital Medical Center
Billing Code: 77067 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77067
- Insurance Median: $135
- Cash Discount Price: $70
- vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Whittier Hospital Medical Center is $135. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.07x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$70
Average discount available for prompt cash payment at this facility.
Insurance Median
$135
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: $70 (55%)
Insurance Median: $135 (107%)
Cash: $70 (55% of Medicare)
Ins. Median: $135 (107% 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 |
|---|---|---|
| Blue Cross Blue Shield | $21 - $374 | 17% |
| Capnet | $21 | 17% |
| Physician Healthways | $52 | 41% |
| Alliance Imaging | $75 | 59% |
| Veterans Administration | $75 | 59% |
| Aetna | $106 - $376 | 84% |
| Aids Healthcare Foundation | $106 - $119 | 84% |
| Alignment Health Plan | $106 | 84% |
| Allied Physicians | $106 - $162 | 84% |
| Alta Los Angeles Hospitals Inc | $106 | 84% |
| Alta Med Health Network | $106 - $119 | 84% |
| Apa/Aco Inc | $106 | 84% |
| Avanti | $106 - $129 | 84% |
| Beverly Hospital | $106 - $119 | 84% |
| Brand New Day | $106 - $132 | 84% |
| Caloptima | $106 - $167 | 84% |
| Central Health Plan | $106 | 84% |
| Easy Choice Health Plan | $106 | 84% |
| Emanate Health | $106 - $132 | 84% |
| Health Net | $106 - $309 | 84% |
| Heritage Provider Network | $106 - $145 | 84% |
| Humana | $106 | 84% |
| Kaiser Foundation | $106 - $377 | 84% |
| La Care Health Plan | $106 - $284 | 84% |
| Medicare (plans) | $106 - $111 | 84% |
| Pacificare Of California | $106 | 84% |
| Prospect Health Plan | $106 - $172 | 84% |
| Scan Health Plan | $106 | 84% |
| Tricare | $107 | 85% |
| Blue Shield Of California | $108 - $1,273 | 86% |
| Caremore | $108 | 86% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $108 | 86% |
| La Care Covered Direct | $108 | 86% |
| Pacific Alliance Medical Center | $108 | 86% |
| Private Pay | $108 | 86% |
| Self-Pay | $108 | 86% |
| Synermed | $108 - $119 | 86% |
| Molina Healthcare Of California | $111 | 88% |
| San Miguel Health Plan | $118 | 93% |
| Ahmc Medi-Cal Reciprocity Agreement | $119 | 94% |
| Altamed Health Services Corporation | $119 | 94% |
| Care First Health Plan | $119 | 94% |
| County Of Los Angeles Dept Of Health Services | $119 | 94% |
| Healthy Way La | $119 | 94% |
| Hollywood Presbyterian Adv Med Mcal | $119 | 94% |
| Hollywood Presbyterian Medpoint Mcal | $119 | 94% |
| La Care Healthy Families/Healthy Kids | $119 | 94% |
| Medi Caid/ Medi Cal | $119 | 94% |
| Non Contracted Medi-Cal | $119 | 94% |
| Pacific Independent Physician Association | $119 - $155 | 94% |
| Applecare Medical Group | $129 | 102% |
| Chinatown Service Center Pace | $129 | 102% |
| Physicians Healthways Medical Corporation | $129 | 102% |
| Ahmc Health | $135 | 107% |
| Knox-Keene Act | $135 | 107% |
| Molina Medical Center | $135 - $201 | 107% |
| UnitedHealthcare | $153 - $498 | 121% |
| Ahmc Reciprocity | $155 | 123% |
| Ahmc Reciprocity Agreement Senior/Commercial | $155 | 123% |
| Wear And Wood | $155 - $206 | 123% |
| Monarch Healthplan | $167 | 132% |
| Edward Medical Group | $181 | 143% |
| Cigna | $190 | 150% |
| Central Health Plan Of California | $206 | 163% |
| Allied Physicians Ipa | $232 | 184% |
| Davita Healthcare Partners | $237 | 188% |
| Health Net Inc | $264 - $335 | 209% |
| Prospect Medical | $284 | 225% |
| Care 1St Health Plan | $310 | 246% |
| New Horizon Medical Group Inc | $310 | 246% |
| Healthnet | $323 - $358 | 256% |
| Cost Containment | $335 | 265% |
| Universal Care | $335 - $361 | 265% |
| Asi/Flex | $361 | 286% |
| Us Comp Care | $361 | 286% |
| Value Healthplan Of California | $361 | 286% |
| Community Care Network | $387 | 307% |
| Coventry Health Care | $387 | 307% |
| Coventry Health Care National Network | $387 | 307% |
| Fmc Los Angeles County | $387 | 307% |
| Interplan Corporation | $387 | 307% |
| Interplan Health Group | $387 | 307% |
| Managed Care Administrators | $387 | 307% |
| Prohealth | $387 | 307% |
| Multiplan | $439 | 348% |
| Commercial Non Contract | $516 | 409% |
| Medi-Cal Sub Acute | $516 | 409% |
| One Legacy | $516 | 409% |
| Great-West Healthcare Of California | $2,500 | 1980% |