CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Medstar Health Physical Therapy

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $146
Cash Discount Price: $173
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Medstar Health Physical Therapy is $146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $173. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.16x the Medicare baseline. Located in 102 Irving St Nw, Washington, DC.

Cash / Self-Pay

$173

Average discount available for prompt cash payment at this facility.

Insurance Median

$146

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: $173 (137%)

Insurance Median: $146 (116%)

Cash: $173 (137% of Medicare)

Ins. Median: $146 (116% 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.

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
Kaiser Permanente	$44 - $186	35%
Carefirst Advantage Inc	$53 - $105	42%
Aetna	$54 - $186	43%
Tricare	$54 - $107	43%
UnitedHealthcare	$54 - $213	43%
Health Care Service Corporation	$55 - $110	44%
Humana	$55 - $110	44%
Carefirst Blue Choice Inc	$130 - $170	103%
Jhhc	$173	137%
Pfc	$173	137%
Medstar Family Choice Inc	$189	150%
Kaiser	$208	165%
Cigna	$226	179%
First Health	$226	179%
Private Healthcare Systems (Phcs)	$226	179%

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 $173.
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 Medstar Health Physical Therapy 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.