CMS Price Transparency Data
Screening mammogram (both breasts)
Facility: Greater El Monte Community Hospital
Billing Code: 77067 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77067
- Insurance Median: $131
- Cash Discount Price: $435
- vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Greater El Monte Community Hospital is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $435. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.04x the Medicare baseline. Located in 1701 Santa Anita Ave, South El Monte, CA.
Cash / Self-Pay
$435
Average discount available for prompt cash payment at this facility.
Insurance Median
$131
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: $435 (345%)
Insurance Median: $131 (104%)
Cash: $435 (345% of Medicare)
Ins. Median: $131 (104% 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 |
|---|---|---|
| In Custody-Ca Highway Patrol | $20 | 16% |
| Blue Cross Blue Shield | $38 - $292 | 30% |
| Care 1St Medi Cal Hmo Cap Exceptional Care | $44 | 35% |
| Clinica Medica Familiar | $50 | 40% |
| Veterans Administration | $75 | 59% |
| Bella Vista Medical Group Ipa | $87 - $196 | 69% |
| Employee Health Systems Medical Group | $87 | 69% |
| Global Care Medical Group Ipa | $87 - $196 | 69% |
| Aids Health Foundation | $106 - $119 | 84% |
| Alignment Health Plan | $106 | 84% |
| Allied Physicians | $106 - $119 | 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 - $1,273 | 84% |
| Brand New Day | $106 - $135 | 84% |
| Cms | $106 | 84% |
| Easy Choice Health Plan | $106 | 84% |
| Health Net Inc | $106 - $308 | 84% |
| La Care Health Plan | $106 - $239 | 84% |
| Other Non Contracted Senior Hmo | $106 | 84% |
| Pacific Alliance Medical Center Reciprocal Contract | $106 | 84% |
| Scan Health Plan | $106 | 84% |
| UnitedHealthcare | $106 - $373 | 84% |
| Champus Foundation | $107 | 85% |
| Associated Hispanic Physicians | $108 - $119 | 86% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $108 | 86% |
| Emanate Health | $108 - $135 | 86% |
| Good Samaritan Medical Practice Assoc | $108 - $261 | 86% |
| Health Net Foundation | $108 - $283 | 86% |
| La Care Covered Direct | $108 | 86% |
| Pacificare Of California | $108 - $377 | 86% |
| Self-Pay | $108 | 86% |
| Alta Med Health Services Med Grp | $109 | 86% |
| Molina Healthcare | $111 | 88% |
| Inter Valley Health Plan | $113 | 90% |
| Molina Healthcare Of California | $113 - $170 | 90% |
| San Miguel Health Plan | $118 | 93% |
| Ahmc Healthcare Inc | $119 | 94% |
| Allied Physicians Medical Group | $119 - $130 | 94% |
| Healthy Way La | $119 | 94% |
| Hollywood Presbyterian Adv Med Mcal | $119 | 94% |
| Hollywood Presbyterian Medpoint Mcal | $119 | 94% |
| Other Non Contracted Medi-Cal Hmo | $119 | 94% |
| State Of California | $119 | 94% |
| Chinatown Service Center Pace | $127 | 101% |
| Ahmc Reciprocity Agreement | $130 | 103% |
| Ahmc Reciprocity Agreement Senior/Commercial | $130 | 103% |
| Lincoln Hospital Medical Center | $130 | 103% |
| Knox-Keene Act | $135 | 107% |
| Caloptima | $176 | 139% |
| Cigna | $190 | 150% |
| Central Health Plan | $214 - $304 | 170% |
| California Thoroughbred Horesmans Foundation | $218 | 173% |
| Universal Care | $218 - $304 | 173% |
| Care 1St Health Plan | $261 | 207% |
| Cost Containment Strategies | $283 | 224% |
| In Custody Police Dept | $283 | 224% |
| Interplan | $283 - $326 | 224% |
| Community Care Network | $348 | 276% |
| Multiplan | $370 | 293% |
| Health Payors Organization | $392 | 310% |
| Commercial Non Contract | $435 | 345% |
| Medi-Cal Sub Acute | $435 | 345% |
| Nuclear Medicine/Whmc | $435 | 345% |
| One Legacy | $435 | 345% |