CMS Price Transparency Data
Screening mammogram (both breasts)
Facility: Monterey Park Hospital
Billing Code: 77067 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77067
- Insurance Median: $137
- Cash Discount Price: $556
- vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Monterey Park Hospital is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $556. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.09x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$556
Average discount available for prompt cash payment at this facility.
Insurance Median
$137
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: $556 (440%)
Insurance Median: $137 (109%)
Cash: $556 (440% of Medicare)
Ins. Median: $137 (109% 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 | $38 - $475 | 30% |
| Altamed Health Services Corporation | $46 - $66 | 36% |
| Care 1St M Cal | $46 - $66 | 36% |
| Crown City Medical Group Inc | $46 - $66 | 36% |
| Family Health Alliance Medical Group | $46 - $197 | 36% |
| Garfield Medical Center | $46 - $66 | 36% |
| Physician Healthways | $46 - $164 | 36% |
| Universal Care M Cal/Advantage Health Network | $46 - $66 | 36% |
| Veterans Administration | $75 | 59% |
| Applecare Medical Group | $86 - $119 | 68% |
| Bella Vista Medical Group | $86 - $197 | 68% |
| Employee Health Systems Medical Group | $91 - $131 | 72% |
| Global Care Medical Group Ipa | $91 - $295 | 72% |
| Healthnet/Ehs Capitation | $91 - $131 | 72% |
| Senior Citizens Choice | $95 | 75% |
| Access Ipa Ancillary | $97 - $119 | 77% |
| Associated Hispanic Physicians Ancillary | $97 - $119 | 77% |
| La Care Health Plan | $102 - $361 | 81% |
| Aetna | $106 - $478 | 84% |
| Aids Health Foundation | $106 - $119 | 84% |
| Alignment Health Plan | $106 | 84% |
| Allied Physicians | $106 - $162 | 84% |
| Alta Med Health Services Corp | $106 - $164 | 84% |
| Altamed Health Network | $106 - $119 | 84% |
| Apa/Aco Inc | $106 | 84% |
| Avanti | $106 - $129 | 84% |
| Beverly Hospital | $106 - $119 | 84% |
| Blue Shield Of California | $106 - $1,158 | 84% |
| Brand New Day | $106 - $135 | 84% |
| Cms | $106 | 84% |
| Easy Choice Health Plan | $106 | 84% |
| First Health Senior | $106 | 84% |
| Foundation Health Plan | $106 | 84% |
| Health Net | $106 - $426 | 84% |
| Health Net Inc | $106 - $464 | 84% |
| Humana | $106 | 84% |
| Medicare (plans) | $106 - $111 | 84% |
| Preferred Ipa | $106 - $135 | 84% |
| Scan Health Plan | $106 | 84% |
| Secure Horizons | $106 | 84% |
| Ucla/Impact Cancer | $106 | 84% |
| UnitedHealthcare | $106 - $459 | 84% |
| Alhambra Community Dialysis Unit Inc | $108 - $394 | 86% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $108 | 86% |
| Emanate Health | $108 - $135 | 86% |
| La Care | $108 - $119 | 86% |
| La Care Covered Direct | $108 | 86% |
| Maxi Med Inc/Ipa | $108 - $119 | 86% |
| Self-Pay | $108 | 86% |
| Molina Healthcare Medi-Connect | $111 | 88% |
| Hispanic Physicians Ipa Medical Corporation | $114 - $164 | 90% |
| San Miguel Health Plan | $118 | 93% |
| Accountable Ipa | $119 | 94% |
| Ahmc Healthcare Inc | $119 - $197 | 94% |
| Altamed Health Services | $119 | 94% |
| Assess Ipa | $119 | 94% |
| Bella Vista Medical Group Ancillary | $119 | 94% |
| Care 1St Mcl/Gar Cap | $119 | 94% |
| Central Health Plan | $119 | 94% |
| Community Health Plan | $119 | 94% |
| Esperanza Medical Group Ipa | $119 - $197 | 94% |
| Health Net Medi Cal | $119 | 94% |
| Healthnet Inc | $119 | 94% |
| Healthy Way La | $119 | 94% |
| Hollywood Presbyterian Adv Med Mcal | $119 | 94% |
| Hollywood Presbyterian Medpoint Mcal | $119 | 94% |
| Medi Cal | $119 | 94% |
| Medical Managed Care Program | $119 | 94% |
| Molina Healthcare | $119 | 94% |
| Other Non-Contracted Medi-Cal | $119 | 94% |
| Pacific Independent Physician Association | $119 - $197 | 94% |
| Preferred Ipa Of California | $119 | 94% |
| Ahmc Health Epo | $135 | 107% |
| Knox-Keene Act | $135 | 107% |
| Molina Healthcare Of California | $135 | 107% |
| Ahmc Reciprocity Agreement Senior/Commercial | $137 - $197 | 109% |
| Allied Physicians Ipa | $137 - $197 | 109% |
| Community Health Plan M Cal Joy Ipa | $137 - $197 | 109% |
| Tenet Reciprocity | $137 - $197 | 109% |
| Pacificare | $153 - $382 | 121% |
| Healthcare Partners Affiliates Medical Group | $163 - $234 | 129% |
| Caloptima Direct | $176 | 139% |
| Molina Medical Centers | $178 - $256 | 141% |
| Central Health Plan Of California | $182 - $262 | 144% |
| Cigna | $190 | 150% |
| Health Net Of California | $273 - $392 | 216% |
| Care 1St Health Plan | $274 - $394 | 217% |
| Greater Los Angeles Dialysis Inc | $274 - $394 | 217% |
| One Health Plan | $274 - $775 | 217% |
| Choice Care Network | $296 - $426 | 234% |
| Healthnet | $296 - $426 | 234% |
| Universal Care | $319 - $459 | 253% |
| Interplan | $342 - $492 | 271% |
| Corvel Corporation | $365 - $925 | 289% |
| Preferred Health Network | $365 - $525 | 289% |
| Bce Emergis Corp | $388 - $558 | 307% |
| Multiplan | $388 - $558 | 307% |
| Commercial Non Contract | $456 - $656 | 361% |
| Mri/Ct Greater El Monte Hospital | $456 - $656 | 361% |
| Mri/Mra/Alhambra Hospital | $456 - $656 | 361% |
| Mri/Mra/Eladh | $456 - $656 | 361% |
| One Legacy | $456 - $656 | 361% |