CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: St Lucie Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $103
  • Cash Discount Price: $793
  • vs. Medicare Baseline: 0.82x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at St Lucie Medical Center is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $793. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.82x the Medicare baseline. Located in 1800 Se Tiffany Ave, Port Saint Lucie, FL.
Cash / Self-Pay
$793

Average discount available for prompt cash payment at this facility.

Insurance Median
$103

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: $793 (628%)
Insurance Median: $103 (82%)
Cash: $793 (628% of Medicare)
Ins. Median: $103 (82% 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 $68 - $127 54%
Optimum $68 54%
Humana $87 - $317 69%
Careplus $93 74%
Devoted Health $93 74%
Hospice Of Treasure Coast $93 74%
Hospice Treasure Coast $93 74%
Ndms Definitive Care $93 74%
United $93 - $357 74%
United Behavioral Health $93 74%
Veterans Evaluation Services $93 74%
Wellmed $93 74%
Blue Cross Blue Shield $94 74%
Ultimate Health Plan $94 74%
Aetna $95 - $238 75%
Prominence Healthfirst $97 77%
Sunshine State $97 - $102 77%
American Health Plan $98 78%
Cigna $99 78%
Florida Complete Care $99 78%
Centurion $102 81%
Avmed $103 - $396 82%
Simply Healthcare Plans $103 82%
Amerihealth Caritas $111 88%
Longevity Health Plan $111 88%
Solis Health Plan $134 106%
Molina $151 - $214 120%
Health Sun Health Plan $169 134%
Sunshine State Health Plan $202 160%
United Ppo $349 276%
Plotkin Health $396 314%
Prime Health Sherriff $396 314%
Multiplan $595 - $674 471%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals