CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Mease Dunedin Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $240
Cash Discount Price: $273
vs. Medicare Baseline: 1.90x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Mease Dunedin Hospital is $240. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $273. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.90x the Medicare baseline. Located in 601 Main St, Dunedin, FL.

Cash / Self-Pay

$273

Average discount available for prompt cash payment at this facility.

Insurance Median

$240

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: $273 (216%)

Insurance Median: $240 (190%)

Cash: $273 (216% of Medicare)

Ins. Median: $240 (190% 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
Clear Health Alliance	$30	24%
UnitedHealthcare	$30 - $410	24%
Aetna	$31 - $371	25%
Freedom Health	$31	25%
Humana	$31 - $105	25%
Molina Healthcare	$31	25%
Simply Healthcare	$31 - $82	25%
Sunshine Health	$31	25%
Florida Community Care	$32	25%
Molina	$82 - $269	65%
Baycareplus	$84	67%
Blue Cross Blue Shield	$84 - $455	67%
Freedom	$91	72%
Optimum	$91	72%
Solis Health	$93	74%
Cigna	$97 - $455	77%
Careplus	$104	82%
Wellcare	$118	93%
Ultimate Health Plan	$136	108%
Avmed	$141 - $328	112%
Ambetter / Centene	$190 - $455	150%
Evolutions	$228 - $423	181%
First Health	$387	307%
Multiplan	$410	325%
United Behavioral Health	$455	360%

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 $273.
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 Mease Dunedin 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.