CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $96
Cash Discount Price: $222
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $222. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.76x the Medicare baseline. Located in 12902 Magnolia Dr, Tampa, FL.

Cash / Self-Pay

$222

Average discount available for prompt cash payment at this facility.

Insurance Median

$96

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: $222 (176%)

Insurance Median: $96 (76%)

Cash: $222 (176% of Medicare)

Ins. Median: $96 (76% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Simply	$21	17%
United Hc	$22 - $444	17%
Blue Cross Blue Shield	$35 - $334	28%
Aetna	$36 - $244	29%
Devoted	$36 - $94	29%
Humana	$36 - $289	29%
Careplus	$37 - $91	29%
Baycare	$38 - $93	30%
Freedom Health	$39 - $96	31%
Health First	$39 - $244	31%
Optimum	$39 - $96	31%
Evolutions	$42 - $355	33%
Avmed	$50 - $266	40%
Multiplan	$57 - $355	45%
Molina	$87	69%
Cigna	$253 - $266	200%
Emerging Therapies	$266	211%
UnitedHealthcare	$266	211%
First Health	$333	264%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $222.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77067.

Insurance In-Network Protection Plan

Contact your insurance company to confirm H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77067.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.