CMS Price Transparency Data
Screening mammogram (both breasts)
Facility: Coastal Communities Hospital
Billing Code: 77067 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77067
- Insurance Median: $108
- Cash Discount Price: $810
- vs. Medicare Baseline: 0.86x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Coastal Communities Hospital is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $810. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.86x the Medicare baseline. Located in 2701 S Bristol St, Santa Ana, CA.
Cash / Self-Pay
$810
Average discount available for prompt cash payment at this facility.
Insurance Median
$108
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: $810 (642%)
Insurance Median: $108 (86%)
Cash: $810 (642% of Medicare)
Ins. Median: $108 (86% 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 |
|---|---|---|
| Altamed Health Services | $51 - $167 | 40% |
| Blue Shield | $54 - $410 | 43% |
| Caloptima | $54 - $167 | 43% |
| Central Health Plan Of California | $54 - $108 | 43% |
| Champion Health Plan | $54 - $108 | 43% |
| Choice Physicians Network | $54 - $108 | 43% |
| Citizens Choice Health Plan | $54 - $108 | 43% |
| Clever Care Health Plan | $54 - $108 | 43% |
| Easy Choice Health Plan | $54 - $108 | 43% |
| For Your Benefit | $54 - $108 | 43% |
| Health Net | $54 - $591 | 43% |
| Healthcare Partners Sr Hmo | $54 - $108 | 43% |
| Heritage | $54 - $108 | 43% |
| Hollywood Presbyterian | $54 - $119 | 43% |
| Humana | $54 - $108 | 43% |
| Imperial Health Plan Of Ca | $54 - $108 | 43% |
| Innovative Integrated Health | $54 - $108 | 43% |
| Kaiser | $54 - $499 | 43% |
| Kpc Healthcare Inc | $54 - $167 | 43% |
| Medcare Partners | $54 - $108 | 43% |
| Monarch | $54 - $118 | 43% |
| Onecare | $54 - $108 | 43% |
| Onecare Connect | $54 - $108 | 43% |
| Other Senior Non Contract | $54 - $108 | 43% |
| Prospect Health Plan | $54 - $167 | 43% |
| Scan Health Plan | $54 - $108 | 43% |
| Self Pay Ab774/Cbo Use Only | $54 - $108 | 43% |
| UnitedHealthcare | $54 - $135 | 43% |
| Us Dept Of Labor | $54 - $108 | 43% |
| Us Federal Marshall/Department Of Immigration | $54 - $108 | 43% |
| Velocity Provider Network Sr | $54 - $108 | 43% |
| Verda Health Plan Sr | $54 - $108 | 43% |
| Veterans Administration | $54 - $108 | 43% |
| Victim Of Violent Crime | $54 - $108 | 43% |
| Victoria Hospice | $54 - $108 | 43% |
| Brand New Day | $60 - $121 | 48% |
| Prime Health Srvs | $62 - $648 | 49% |
| County Of Orange/Custody/Advanced Medmgt | $67 - $135 | 53% |
| Veterans Evaluation Services | $67 - $135 | 53% |
| Staywell/Island Home Ins | $75 - $151 | 59% |
| Three Rivers Network | $94 - $188 | 74% |
| Velocity National Provider Network Ppo | $94 - $188 | 74% |
| Champus | $102 | 81% |
| Altamed Mcal Hmo (Ancillary) | $119 | 94% |
| Healthcare Partners | $119 | 94% |
| Medi-Cal Hmo/Non Contract | $119 | 94% |
| Medicaid / KanCare | $119 | 94% |
| Monarch Health Plan | $126 | 100% |
| Choc Health Alliance | $167 | 132% |
| County Of Orange | $167 | 132% |
| Family Choice | $167 | 132% |
| Heritage Provider Network | $167 - $486 | 132% |
| Cigna | $194 - $526 | 154% |
| Ihhi Reciprocity | $243 | 192% |
| Aetna | $273 | 216% |
| Velocity National Provider Network Wc | $364 | 288% |
| First Health | $425 | 337% |
| Magellan | $486 | 385% |
| Multiplan | $567 | 449% |
| Networks By Design | $567 | 449% |
| Networks By Design Wc | $567 | 449% |
| Healthsmart | $608 | 482% |
| Interplan | $608 | 482% |
| Prime Health | $608 | 482% |
| Pnoa-Provider Network Of America | $648 | 513% |
| Prime Health Srvs/Network | $688 | 545% |
| Lucet Behavioral Health Sr | $810 | 642% |
| Managed Health Network | $810 | 642% |
| Other Insurance Loa | $810 | 642% |
| Other Non Contracted Plans | $810 | 642% |
| Private Pay | $810 | 642% |
| Us Behavioral Health Plan | $810 | 642% |
| Vitas Hospice | $810 | 642% |