CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Marion Communtiy Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $93
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.74x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Marion Communtiy Hospital is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.74x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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%)
Insurance Median: $93 (74%)
Ins. Median: $93 (74% 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
Humana $82 - $87 65%
Devoted Health $87 69%
Ndms Definitive Care $87 69%
United $87 - $217 69%
Va Purchased Care Program $87 69%
Veterans Evaluation Services $87 69%
Wellmed $87 69%
Blue Cross Blue Shield $89 70%
Freedom Optimum $89 70%
Sunshine State $92 73%
Wellcare $92 73%
Align Senior Care $93 74%
American Health Plan $93 74%
Avmed $93 74%
Cigna $93 74%
Florida Complete Care $93 74%
Secur $94 74%
Gold Kidney Of Florida $95 75%
Aetna $96 76%
Centurion $96 76%
Clear Spring Health $96 76%
Careplus $100 79%
Ultimate Health Plan $100 79%
Longevity Health Plan $105 83%
Naphcare $183 - $210 145%
University Ma Federal Corrections $183 145%
Wellpath $183 - $210 145%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1431 Sw 1St Ave, Ocala, FL 34471
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals