CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Banner Lassen Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $239
  • Cash Discount Price: $220
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Banner Lassen Medical Center is $239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $220. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.89x the Medicare baseline. Located in 1800 Spring Ridge Drive, Susanville, CA.
Cash / Self-Pay
$220

Average discount available for prompt cash payment at this facility.

Insurance Median
$239

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: $220 (174%)
Insurance Median: $239 (189%)
Cash: $220 (174% of Medicare)
Ins. Median: $239 (189% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Banner Health $102 - $153 81%
Blue Cross Blue Shield $102 - $153 81%
UnitedHealthcare $102 - $348 81%
Network Providers, Llc $133 - $199 105%
Imperial Health Plan Of California, Inc $138 - $207 109%
Partnership Healthplan Of Ca $197 156%
Blue Shield Of California $217 - $325 172%
Multiplan $224 - $337 177%
Cigna $237 - $355 188%
Coventry $239 - $359 189%
First Health $239 - $359 189%
Health Net $242 - $363 192%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 Spring Ridge Drive, Susanville, CA 96130
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals