CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: University of Miami Hospital and Clinics

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $531
Cash Discount Price: $239
vs. Medicare Baseline: 4.21x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at University of Miami Hospital and Clinics is $531. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $239. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 4.21x the Medicare baseline. Located in 1475 Nw 12Th Ave Suite 2175, Miami, FL.

Cash / Self-Pay

$239

Average discount available for prompt cash payment at this facility.

Insurance Median

$531

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: $239 (189%)

Insurance Median: $531 (421%)

Cash: $239 (189% of Medicare)

Ins. Median: $531 (421% 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 421% of the Medicare baseline (a markup of 321%). 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
Careplus	$221	175%
Sunshine Health	$278	220%
Aetna	$308 - $486	244%
Molina Healthcare Of Fl	$334	265%
Oscar Health Of Fl	$351	278%
Amerihealth Caritas Fl	$354	280%
UnitedHealthcare	$369 - $485	292%
Blue Cross Blue Shield	$411 - $691	326%
Curative	$469	371%
Avmed	$504 - $575	399%
Cigna	$515 - $620	408%
Employers Health Network	$531	421%
Simply Healthcare	$531	421%
First Health	$575	455%
Health First New York Health Insurance	$575	455%
Broward Health	$620	491%
Beech Street	$708	561%
Dimension Health	$708	561%
Multiplan	$708	561%

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 $239.
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 University of Miami Hospital and Clinics 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.