CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Cleveland Clinic Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $149
Cash Discount Price: $459
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Cleveland Clinic Hospital is $149. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $459. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.18x the Medicare baseline. Located in 3100 Weston Rd, Weston, FL.

Cash / Self-Pay

$459

Average discount available for prompt cash payment at this facility.

Insurance Median

$149

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: $459 (364%)

Insurance Median: $149 (118%)

Cash: $459 (364% of Medicare)

Ins. Median: $149 (118% 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
Avmed	$36 - $219	29%
Blue Cross Blue Shield	$36 - $278	29%
Doctors Health Plan	$36 - $174	29%
United	$36 - $225	29%
Wellcare	$36 - $169	29%
Independent Living Systems	$38 - $178	30%
Clear Spring Health	$39 - $184	31%
Cigna	$41 - $178	32%
Aetna	$44 - $686	35%
Maritime	$137 - $490	109%
Multiplan	$137 - $600	109%
Humana	$169	134%
Clarity Health	$178 - $637	141%
The Legacy Companies	$178 - $637	141%
Devoted Health	$186	147%
Consociate Health	$206 - $735	163%
Bmi	$388	307%

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 $459.
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 Cleveland Clinic Hospital 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.