CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Lower Keys Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $230
  • Cash Discount Price: $179
  • vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Lower Keys Medical Center is $230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $179. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.82x the Medicare baseline. Located in 5900 College Road, Key West, FL.
Cash / Self-Pay
$179

Average discount available for prompt cash payment at this facility.

Insurance Median
$230

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: $179 (142%)
Insurance Median: $230 (182%)
Cash: $179 (142% of Medicare)
Ins. Median: $230 (182% 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
Florida Childrens Medical Services $22 - $45 17%
Medicaid / KanCare $22 - $49 17%
South Florida Community Care Network $22 - $45 17%
Humana $23 - $94 18%
Amerigroup $25 - $49 20%
Molina $25 - $51 20%
Positive Healthcare $25 - $49 20%
Simply Healthcare $25 - $210 20%
Wellcare $25 - $49 20%
Wellcare Healthease $25 - $49 20%
Prestige Health Choice $26 - $52 21%
Magellan $27 - $54 21%
Blue Cross Blue Shield $47 - $676 37%
Medicare (plans) $47 - $94 37%
Ultimate Health $47 - $94 37%
Node Non Par Hospice Agree $48 - $95 38%
Node United Behavioral Va Ccn $48 - $95 38%
Node Va $48 - $95 38%
UnitedHealthcare $48 - $520 38%
Correct Care Solutions $52 - $105 41%
Self Pay $81 - $237 64%
Veterans Eval Services $84 67%
Tricare $88 70%
Node Champva $92 73%
State Auto Insurance Fl $95 - $191 75%
Node Us Dept Of Labor $112 - $224 89%
Prime Health Work Comp Fl $157 124%
Fl Work Comp $162 128%
Heritage Summit Work Comp Fl $162 128%
Cigna $177 - $399 140%
Aetna $209 - $472 166%
Monroe County $224 - $507 177%
Evolutions Healthcare Systems $239 - $642 189%
Keys Energy $239 - $541 189%
Prime Health Ppo $239 - $541 189%
Avmed Health Plan $254 - $575 201%
Direct Healthcare $299 - $676 237%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 College Road, Key West, FL 33040
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals