CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: HCA Florida Citrus Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $93
  • Cash Discount Price: $592
  • vs. Medicare Baseline: 0.74x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at HCA Florida Citrus Hospital is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $592. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.74x the Medicare baseline. Located in 502 W Highland Blvd, Inverness, FL.
Cash / Self-Pay
$592

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $592 (469%)
Insurance Median: $93 (74%)
Cash: $592 (469% of Medicare)
Ins. Median: $93 (74% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $28 22%
Access 2 Healthcare Physicians Freedom Health $36 29%
Access 2 Healthcare Physicians Optimum $36 29%
Freedom Health Care $38 30%
Optimum Healthcare $38 30%
Avmed $47 - $148 37%
Humana $82 - $166 65%
Caresource $84 67%
Aetna $87 - $178 69%
Hernando-Pasco Hospice $87 69%
Ndms Definitive Care $87 69%
United $87 - $267 69%
United Behavioral Health $87 69%
United Va Ccn $87 69%
Wellmed $87 69%
Blue Cross Blue Shield $89 70%
Ultimate Health Plan $89 70%
Sunshine State $92 73%
Wellcare $92 73%
Align Senior Care $93 74%
American Health Plan $93 74%
Cigna $93 74%
Florida Complete Care $93 74%
Secur $94 74%
Gold Kidney Of Florida $95 75%
Centurion $96 76%
Clear Spring Health $96 76%
Molina $113 - $160 90%
Sunshine State Health Plan $151 120%
Beacon Health Options $296 234%
Plotkin Health $296 234%
Prime Health Sheriff $296 234%
Evolutions Healthcare Systems $355 - $545 281%
Multiplan $444 - $503 352%
Evernorth $474 375%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Highland Blvd, Inverness, FL 34452
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals