CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: St Francis Hospital & Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $238
  • Cash Discount Price: $450
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at St Francis Hospital & Medical Center is $238. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $450. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.89x the Medicare baseline. Located in 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT.
Cash / Self-Pay
$450

Average discount available for prompt cash payment at this facility.

Insurance Median
$238

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: $450 (356%)
Insurance Median: $238 (189%)
Cash: $450 (356% of Medicare)
Ins. Median: $238 (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
Blue Cross Blue Shield $87 - $112 69%
Aetna $96 - $238 76%
Medicare (plans) $96 - $101 76%
Cca Senior Care Options $98 78%
UnitedHealthcare $98 - $160 78%
Cigna $99 - $747 78%
Bcn Domestic $112 89%
Blue Benefit Administrators of Massachusetts $112 89%
Blue Care Network $112 89%
Blue Distinction Transplant $112 89%
Blue Shield - Ca $112 89%
Blue Shield - Id (Regence) $112 89%
Blue Shield - Ny Highmark Northeastern $112 89%
Blue Shield - Ny Highmark Western $112 89%
Blue Shield - PA (Highmark) $112 89%
Blue Shield - Wa (Regence) $112 89%
Health Choices $112 89%
Kaiser Domestic $112 89%
Pre-Employment $112 89%
Unicare $112 89%
Wc Domestic $112 89%
Wellpoint $112 89%
Fallon Health $128 101%
Connecticut Dept of Correction $134 106%
Geha $160 127%
Harvard Pilgrim Healthcare $160 127%
Centivo $196 155%
Innovative Health Plan II $206 163%
1199 National Benefit Fund $238 189%
Allied Benefit Systems $238 189%
Gravie Admin Services $238 189%
Hap $238 189%
Luminare Health $238 189%
Meritain $238 189%
Nippon Life Ins $238 189%
Webtpa $238 189%
Connecticare $311 - $380 246%
Allegiance $374 296%
Health Partners $374 296%
Magnacare $374 296%
Health New England $387 - $515 307%
Allied National Global Care $477 - $635 378%
Asrm - Reliance Standard Life Insurance $477 - $635 378%
Christian Care Ministry $477 - $635 378%
Dean Health $477 - $635 378%
Family Life Insurance Company $477 - $635 378%
Ghc Scw $477 - $635 378%
International Benefit Administrators $477 - $635 378%
Lifetime Benefit Solutions $477 - $635 378%
Manhattan Life $477 - $635 378%
Medi Share $477 - $635 378%
Multiplan $477 - $635 378%
Mvp $477 - $635 378%
PHCS $477 - $635 378%
Pai $477 - $635 378%
Pan-American Life $477 - $635 378%
Paramount HMO $477 - $635 378%
Trinity Health Share $477 - $635 378%
Prime Health Services $491 - $654 389%
Health Smart $596 - $794 472%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT 06105
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals