CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Adventist Health Howard Memorial

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $278
Cash Discount Price: $164
vs. Medicare Baseline: 2.20x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Adventist Health Howard Memorial is $278. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 2.20x the Medicare baseline. Located in 1 Marcela Dr, Willits, CA.

Cash / Self-Pay

$164

Average discount available for prompt cash payment at this facility.

Insurance Median

$278

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: $164 (130%)

Insurance Median: $278 (220%)

Cash: $164 (130% of Medicare)

Ins. Median: $278 (220% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 220% of the Medicare baseline (a markup of 120%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Shield Mcare	$36 - $253	29%
Medicare (plans)	$36 - $256	29%
Tricare	$36 - $253	29%
UnitedHealthcare	$36 - $979	29%
Ah Employee Health Plan - All Plans	$39 - $658	31%
Cigna	$42 - $1,075	33%
Healthnet - All Plans	$52 - $1,037	41%
Blue Shield - All Other Plans	$53 - $867	42%
Western Growers/Pinnacle - All Plans	$55 - $949	44%
Brms - All Plans	$60 - $1,075	48%
Medi-Cal	$71 - $180	56%
Blue Cross Blue Shield	$75 - $921	59%
Aetna	$92 - $849	73%
Blue Shield Epn	$649 - $865	514%
First Health Ppo - All Plans	$759 - $1,012	601%
Ghn Ppo - All Plans	$759 - $1,012	601%

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 $164.
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 Adventist Health Howard Memorial 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.