CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Uchealth Pikes Peak Regional Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $257
Cash Discount Price: $348
vs. Medicare Baseline: 2.04x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Uchealth Pikes Peak Regional Hospital is $257. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $348. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 2.04x the Medicare baseline. Located in 16420 W Us Highway 24, Woodland Park, CO.

Cash / Self-Pay

$348

Average discount available for prompt cash payment at this facility.

Insurance Median

$257

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: $348 (276%)

Insurance Median: $257 (204%)

Cash: $348 (276% of Medicare)

Ins. Median: $257 (204% 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 204% of the Medicare baseline (a markup of 104%). 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	$56 - $218	44%
Aetna	$98 - $392	78%
Cigna	$98 - $382	78%
Cms	$98 - $120	78%
Devoted Health	$98 - $120	78%
Humana	$98 - $120	78%
Kaiser	$98 - $406	78%
Select Health	$98 - $650	78%
UnitedHealthcare	$98 - $380	78%
Simplified Benefits Administration	$180 - $241	143%
Kaiser Public Option	$236 - $287	187%
Kaiser Kp Select	$283 - $344	224%
Multiplan/Phcs	$310 - $378	246%
First Health	$334 - $406	265%
Rocky Mountain Health Plan	$334 - $406	265%

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 $348.
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 Uchealth Pikes Peak Regional Hospital 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.