CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Larkin Community Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $136
  • Cash Discount Price: $406
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Larkin Community Hospital is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $406. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.08x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$406

Average discount available for prompt cash payment at this facility.

Insurance Median
$136

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: $406 (322%)
Insurance Median: $136 (108%)
Cash: $406 (322% of Medicare)
Ins. Median: $136 (108% 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
Medicaid / KanCare $21 - $31 17%
Corvel Mcaid Workers Comp $26 21%
Sunshine Behavioral $26 21%
Aetna $29 - $580 23%
Ambetter / Centene $29 23%
Community Care Phks Mcaid-All Other Plans $29 23%
Florida Comm Care Mcaid $29 23%
Humana $29 - $580 23%
Magellan Complete Care $29 23%
Molina Exch Marketplace-All Other Plans $29 23%
UnitedHealthcare $29 - $175 23%
United Prop Casualty-All Plans $90 71%
Blue Cross Blue Shield $123 - $387 97%
Florida Comm Care Mcare-All Other Plans $130 103%
Medicare (plans) $130 - $609 103%
Ops Maritime-All Plans $130 103%
Opus Hospice Ip Only-All Plans $130 103%
Preferred Care Partners Mcare-All Plans $130 103%
Clear Springs Hlth-All Plans $136 108%
Unicare Simply Mcare Ppo-All Plans $136 108%
Wellpath-All Plans $143 113%
Cigna $145 115%
Fci-All Plans $149 118%
Allianz (Azga)-All Plans $169 134%
Healthsun-All Plans $174 138%
Star Network-All Plans $232 184%
Jmh Health Plan Hmo/Ppo-All Other Plans $319 253%
Global Excel-All Plans $348 276%
Haa Preferred Partners-All Plans $348 276%
Corvel Mcare Workers Comp-All Plans $522 413%
Avmed-All Plans $580 459%
Careplus Health-All Other Plans $580 459%
Centurion-All Plans $580 459%
Coventry Comml-All Plans $580 459%
Doctors Healthcare-All Plans $580 459%
First Med Hp Of Fl-All Plans $580 459%
Florida Health Solution/Hmo-All Plans $580 459%
Bright Health-All Other Plans $696 551%
Oscar Health-All Plans $1,160 919%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals