CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: HCA Florida Lawnwood Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $97
  • Cash Discount Price: $367
  • vs. Medicare Baseline: 0.77x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at HCA Florida Lawnwood Hospital is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $367. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.77x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$367

Average discount available for prompt cash payment at this facility.

Insurance Median
$97

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: $367 (291%)
Insurance Median: $97 (77%)
Cash: $367 (291% of Medicare)
Ins. Median: $97 (77% 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 $32 - $59 25%
Optimum $32 25%
Avmed $48 - $184 38%
Simply Healthcare Plans $48 38%
Molina $70 - $99 55%
Health Sun Health Plan $78 62%
Blue Cross Blue Shield $87 - $658 69%
Humana $87 - $147 69%
Careplus $93 74%
Devoted Health $93 - $97 74%
Ndms Definitive Care $93 74%
United $93 - $217 74%
United Behavioral Health $93 74%
Veterans Evaluation Services $93 74%
Wellmed $93 74%
Sunshine State Health Plan $94 74%
Ultimate Health Plan $94 74%
Aetna $95 - $110 75%
Bright Health $97 77%
Cigna $97 - $394 77%
Mutual Of Omaha $97 77%
Prominence Healthfirst $97 77%
Rocky Mountain Health $97 77%
Sunshine State $97 - $102 77%
Total Longterm Care $97 77%
Triwest Health Alliance $97 77%
American Health Plan $98 78%
Florida Complete Care $99 78%
Innovage Pace $99 78%
Kaiser $99 78%
Wellcare $100 79%
Centurion $102 81%
Delaware Life Insurance $102 81%
Amerihealth Caritas $111 88%
Longevity Health Plan $111 88%
Office Of Sheiff Highland Co $128 101%
Solis Health Plan $134 106%
United Ppo $161 128%
Plotkin Health $184 146%
Prime Health Sherriff $184 146%
Rocky Mountain Health Plan $217 172%
Multiplan $275 - $312 218%
Evernorth Bh $294 233%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals