CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Sterling Regional Medcenter

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $209
  • Cash Discount Price: $216
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Sterling Regional Medcenter is $209. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $216. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.66x the Medicare baseline. Located in 615 Fairhurst St, Sterling, CO.
Cash / Self-Pay
$216

Average discount available for prompt cash payment at this facility.

Insurance Median
$209

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: $216 (171%)
Insurance Median: $209 (166%)
Cash: $216 (171% of Medicare)
Ins. Median: $209 (166% 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
Aetna $63 - $317 50%
Banner Health $70 - $106 55%
Blue Cross Blue Shield $70 - $778 55%
Healthspring Life & Health Insurance Company, Inc. $70 - $106 55%
Medica $70 - $284 55%
Medicare (plans) $70 - $106 55%
Assist Health Group $84 - $127 67%
Pinnacol Assurance Workers Comp $110 - $166 87%
UnitedHealthcare $132 - $323 105%
Denver Health Medical Plan $137 - $206 109%
Apostrophe, Inc. $204 - $307 162%
First Choice Health Network $204 - $307 162%
First Choice Of The Midwest $216 - $324 171%
Hue Health, Inc $216 - $324 171%
Rocky Mountain Health Plans $216 - $324 171%
Multiplan $220 - $331 174%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 615 Fairhurst St, Sterling, CO 80751
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals