CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Montrose Regional Health

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $321
Cash Discount Price: $256
vs. Medicare Baseline: 2.54x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Montrose Regional Health is $321. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $256. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 2.54x the Medicare baseline. Located in 800 S 3Rd St, Montrose, CO.

Cash / Self-Pay

$256

Average discount available for prompt cash payment at this facility.

Insurance Median

$321

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: $256 (203%)

Insurance Median: $321 (254%)

Cash: $256 (203% of Medicare)

Ins. Median: $321 (254% 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 254% of the Medicare baseline (a markup of 154%). 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 Cross Blue Shield	$36 - $436	29%
Humana	$36 - $394	29%
Medicare (plans)	$36 - $133	29%
UnitedHealthcare	$44 - $348	35%
United Rocky Mountain Mcaid	$45 - $464	36%
Montrose Community Healthplan-All Plans	$50 - $311	40%
United Rocky Mountain Chp-All Other Plans	$59 - $157	47%
United Rocky Mountain Private Plan	$60 - $339	48%
United Rocky Mountain Self Insured	$60 - $348	48%
Sloans Lake Managed Care-All Plans	$85 - $349	67%
Three Rivers-All Plans	$112 - $418	89%
Western Healthcare Alliance-All Plans	$112 - $418	89%
Cigna	$119 - $441	94%
Multiplan-All Plans	$119 - $441	94%
Uchpa - All Plans	$119 - $441	94%

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 $256.
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 Montrose Regional Health 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.