CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: HCA Florida West Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $150
  • Cash Discount Price: $769
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at HCA Florida West Hospital is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $769. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.19x the Medicare baseline. Located in 8383 N Davis Hwy, Pensacola, FL.
Cash / Self-Pay
$769

Average discount available for prompt cash payment at this facility.

Insurance Median
$150

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: $769 (609%)
Insurance Median: $150 (119%)
Cash: $769 (609% of Medicare)
Ins. Median: $150 (119% 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 - $154 65%
Value Options $84 67%
Triwest Healthcare Alliance $86 68%
Ndms Definitive Care $87 69%
United $87 - $346 69%
United Behavioral Health $87 69%
Wellmed $87 69%
Blue Cross Blue Shield $89 70%
Aetna $90 - $231 71%
Sunshine State $92 73%
Wellcare $92 73%
Align Senior Care $93 74%
American Health Plan $93 74%
Florida Complete Care $93 74%
Healthspring Of Florida $93 74%
Gold Kidney Of Florida $95 75%
Centurion $96 76%
Clear Spring Health $96 76%
Freedom Health $98 78%
Ultimate Health Plan $100 79%
Longevity Health Plan $105 83%
Simply $118 93%
Molina Healthcare $146 - $246 116%
Naphcare $183 - $210 145%
Seven Corners $183 - $210 145%
Avmed $185 - $384 147%
Sunshine State Health Plan $196 155%
Plotkin Health $384 304%
Prime Health Sheriff $384 304%
Evolutions Healthcare $500 - $653 396%
Multiplan $600 - $653 475%
Evernorth $615 487%
Ppo Next $653 517%
Novanet $692 548%
Beacon Health Options $769 609%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8383 N Davis Hwy, Pensacola, FL 32514
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals