CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: UF Health Shands Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $190
Cash Discount Price: $475
vs. Medicare Baseline: 1.50x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at UF Health Shands Hospital is $190. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $475. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.50x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.

Cash / Self-Pay

$475

Average discount available for prompt cash payment at this facility.

Insurance Median

$190

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: $475 (376%)

Insurance Median: $190 (150%)

Cash: $475 (376% of Medicare)

Ins. Median: $190 (150% 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
Beacon Health Strategies	$32	25%
Humana	$32 - $174	25%
Sunshine State Health Plan	$32	25%
UnitedHealthcare	$32 - $863	25%
Aetna	$34 - $711	27%
Florida Community Care	$34	27%
Amerihealth Caritas Florida	$35	28%
Community Care Plan	$35	28%
Molina	$35	28%
Simply Healthcare	$38	30%
Blue Cross Blue Shield	$169 - $299	134%
Capital Health Plan	$172 - $432	136%
North Central Hospice	$172	136%
Wellcare	$172	136%
Carelon Health	$183	145%
Ahf Mco Of Fl	$190	150%
Devoted Health Plan	$190	150%
Freedom Health- Inc./Optimum Healthcare- Inc.	$190	150%
Uaa	$329	261%
Ambetter / Centene	$345	273%
Northeast Fl Hospital	$380	301%
Careplus	$388	307%
Positive Healthcare Partners	$388	307%
Florida Health Care Plan	$432	342%
Wellpath	$432	342%
Avmed	$485 - $547	384%
Health First	$604	478%
Prime Health Services	$604	478%
Cigna	$643	509%
Archbold Medical Center	$647	512%
Genex	$647	512%
Corvel Corp	$734	581%
Geha	$777	615%

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 $475.
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 UF Health Shands 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.