CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: HCA Florida Memorial Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $104
Cash Discount Price: $1,227
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at HCA Florida Memorial Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,227. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.82x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.

Cash / Self-Pay

$1,227

Average discount available for prompt cash payment at this facility.

Insurance Median

$104

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: $1,227 (972%)

Insurance Median: $104 (82%)

Cash: $1,227 (972% of Medicare)

Ins. Median: $104 (82% 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
Hospice Community	$70	55%
Hospice Haven	$79	63%
Humana	$84 - $356	67%
Aetna	$87 - $368	69%
Careplus	$87	69%
Devoted Health	$87	69%
Ndms Definitive Care	$87	69%
United	$87 - $552	69%
United Behavioral Health	$87	69%
Veterans Evaluation Services	$87	69%
Wellmed	$88	70%
Blue Cross Blue Shield	$89	70%
Sunshine State	$92	73%
Wellcare	$92	73%
American Health Plan	$93	74%
Cigna	$93	74%
Florida Complete Care	$93	74%
Gold Kidney	$95	75%
Optimum Healthcare	$103	82%
Longevity	$105	83%
Avmed	$147 - $344	116%
Simply Healthcare	$189	150%
Positive Healthcare	$270	214%
Sunshine State Health Plan	$313	248%
Molina Healthcare	$331	262%
Centurion	$340	269%
Corizon	$368	291%
Plotkin Health	$614	486%
Multiplan	$957 - $1,043	758%
Evernorth	$982	778%
Evolutions Healthcare	$982 - $1,043	778%
Ppo Next	$1,043	826%
Novanet	$1,104	874%

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 $1,227.
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 HCA Florida Memorial 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.