CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: HCA Healthone Mountain Ridge

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $445
Cash Discount Price: $1,915
vs. Medicare Baseline: 3.52x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at HCA Healthone Mountain Ridge is $445. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,915. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 3.52x the Medicare baseline. Located in 9191 Grant St, Thornton, CO.

Cash / Self-Pay

$1,915

Average discount available for prompt cash payment at this facility.

Insurance Median

$445

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: $1,915 (1517%)

Insurance Median: $445 (352%)

Cash: $1,915 (1517% of Medicare)

Ins. Median: $445 (352% 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 352% of the Medicare baseline (a markup of 252%). 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	$87 - $1,589	69%
Humana	$96	76%
United	$96 - $966	76%
Aetna	$97 - $1,134	77%
Bright Health	$97 - $644	77%
Cigna	$97 - $1,374	77%
Devoted Health	$97	77%
Mutual Of Omaha	$97	77%
Rocky Mountain Health	$97	77%
Total Longterm Care	$97	77%
Triwest Health Alliance	$97	77%
Innovage Pace	$99	78%
Kaiser	$99 - $762	78%
Wellcare	$100	79%
Delaware Life Insurance	$102	81%
Rocky Mountain Health Plan	$217	172%
Vail Health	$256 - $326	203%
Life Source Services	$350	277%
Colorado Program For Children With Special Needs	$572 - $730	453%
Western Plains Community Health	$1,094 - $1,396	867%
Multiplan	$1,178 - $1,933	933%
Northcare	$1,178 - $1,503	933%
Physician Health Partners	$1,178 - $1,503	933%
Pinnacol Workers Comp	$1,262 - $1,611	1000%
Medical Development International	$1,346 - $1,718	1066%
Prime Health	$1,514 - $1,933	1199%

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 $1,915.
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 HCA Healthone Mountain Ridge 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.