CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: HCA Florida North Florida Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $129
  • Cash Discount Price: $529
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at HCA Florida North Florida Hospital is $129. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $529. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.02x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.
Cash / Self-Pay
$529

Average discount available for prompt cash payment at this facility.

Insurance Median
$129

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: $529 (419%)
Insurance Median: $129 (102%)
Cash: $529 (419% of Medicare)
Ins. Median: $129 (102% 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
Avmed $62 - $271 49%
United $77 - $244 61%
Hospice Of North Central Fl $79 63%
Simply $80 - $84 63%
Humana $85 - $108 67%
Ndms Definitive Care $87 69%
United Behavioral Health $87 69%
Wellmed $87 69%
Blue Cross Blue Shield $89 70%
Capital Health Plan $89 70%
Aetna $90 - $163 71%
Sunshine State $92 73%
Wellcare $92 73%
Align Senior Care $93 74%
American Health Plan $93 74%
Cigna $93 74%
Florida Complete Care $93 74%
Gold Kidney Of Florida $95 75%
Centurion $96 76%
Clear Spring Health $96 76%
Molina Healthcare $98 - $174 78%
Ultimate Health Plan $100 79%
Longevity Health Plan $105 83%
Sunshine State Health Plan $132 - $138 105%
Plotkin Health $258 - $271 204%
Prime Health Sheriff $258 - $271 204%
Corizon Phs $310 - $325 246%
Multiplan $403 - $461 319%
Evernorth $413 - $434 327%
Evolutions Healthcare $439 - $461 348%
Ppo Next $439 - $461 348%
Novanet $465 - $488 368%
Beacon Health Options $516 - $542 409%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6500 W Newberry Rd, Gainesville, FL 32605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals