CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: HCA Florida Kendall Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $124
  • Cash Discount Price: $652
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at HCA Florida Kendall Hospital is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $652. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.98x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.
Cash / Self-Pay
$652

Average discount available for prompt cash payment at this facility.

Insurance Median
$124

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: $652 (516%)
Insurance Median: $124 (98%)
Cash: $652 (516% of Medicare)
Ins. Median: $124 (98% 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
Freedom Health $56 - $104 44%
Optimum $56 44%
Avmed $78 - $326 62%
Simply Healthcare Plans $85 67%
Humana $90 - $222 71%
Careplus Sfl $95 75%
Cigna $95 75%
Devoted Health $95 75%
Leon Health $95 75%
Ndms Definitive Care $95 75%
United $95 - $293 75%
United Behavioral Health $95 75%
Veterans Evaluation Services $95 75%
Wellmed $95 75%
Blue Cross Blue Shield $97 77%
Aetna $98 - $196 78%
Oscar $100 79%
Prominence Healthfirst $100 79%
Sunshine State $100 - $105 79%
American Health Plan $101 80%
Align $102 81%
Florida Complete Care $102 81%
Centurion $105 83%
Doctors Healthcare Plan $105 83%
Gold Kidney $107 85%
Amerihealth Caritas $114 90%
Longevity Health Plan $114 90%
Molina $124 - $176 98%
Solis Health Plan $138 109%
Health Sun Health Plan $139 110%
Aids Healthcare $143 - $782 113%
Mmm Of Fl (Health Advantage Plan) $150 119%
United Ppo $155 123%
Naphcare $162 128%
Sunshine State Health Plan $170 135%
Seven Corners $200 - $229 158%
Wellpath $200 - $229 158%
Plotkin Health $326 258%
Prime Health Sherriff $326 258%
Medica Healthcare $378 299%
Multiplan $489 - $554 387%
Evernorth Bh $522 413%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11750 Bird Rd, Miami, FL 33175
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals