CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: HCA Florida South Shore Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $94
  • Cash Discount Price: $1,027
  • vs. Medicare Baseline: 0.74x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at HCA Florida South Shore Hospital is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,027. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.74x the Medicare baseline. Located in 4016 Sun City Center Blvd, Sun City Center, FL.
Cash / Self-Pay
$1,027

Average discount available for prompt cash payment at this facility.

Insurance Median
$94

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: $1,027 (813%)
Insurance Median: $94 (74%)
Cash: $1,027 (813% of Medicare)
Ins. Median: $94 (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
Access 2 Healthcare Physicians Freedom Optimum Group Members $48 38%
Access 2 Healthcare Physicians Freedom Health $74 59%
Access 2 Healthcare Physicians Optimum $74 59%
Freedom Health Care $80 63%
Optimum Healthcare $80 63%
Avmed $82 - $257 65%
Humana $82 - $288 65%
Caresource $84 67%
Aetna $87 - $308 69%
Devoted Health $87 69%
Ndms Definitive Care $87 69%
United $87 - $462 69%
United Va Ccn $87 69%
Wellmed $87 69%
Blue Cross Blue Shield $89 70%
Ultimate Health Plan $89 70%
Baycare Health Plans $92 73%
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%
Secur $94 74%
Gold Kidney Of Florida $95 75%
Centurion $96 76%
Clear Spring Health $96 76%
Careplus $100 79%
Longevity Health Plan $105 83%
Solis Health Plan $127 101%
Simply Healthcare $158 125%
Molina $195 - $277 154%
Sunshine State Health Plan $262 208%
Plotkin Health $514 407%
Prime Health Sheriff $514 407%
Evolutions Healthcare Systems $565 - $945 448%
Multiplan $770 - $873 610%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4016 Sun City Center Blvd, Sun City Center, FL 33573
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals