CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Baycare Hospital Wesley Chapel

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $218
  • Cash Discount Price: $273
  • vs. Medicare Baseline: 1.73x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Baycare Hospital Wesley Chapel is $218. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $273. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.73x the Medicare baseline. Located in 4501 Bruce B Downs Blvd, Wesley Chapel, FL.
Cash / Self-Pay
$273

Average discount available for prompt cash payment at this facility.

Insurance Median
$218

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: $273 (216%)
Insurance Median: $218 (173%)
Cash: $273 (216% of Medicare)
Ins. Median: $218 (173% 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
Clear Health Alliance $30 24%
UnitedHealthcare $30 - $410 24%
Aetna $31 - $371 25%
Freedom Health $31 25%
Humana $31 - $105 25%
Molina Healthcare $31 25%
Simply Healthcare $31 - $82 25%
Sunshine Health $31 25%
Florida Community Care $32 25%
Molina $82 - $269 65%
Baycareplus $84 67%
Blue Cross Blue Shield $84 - $241 67%
Freedom $91 72%
Optimum $91 72%
Solis Health $93 74%
Cigna $97 - $396 77%
Careplus $104 82%
Wellcare $118 93%
Ultimate Health Plan $136 108%
Avmed $141 - $223 112%
Ambetter / Centene $190 - $455 150%
Evolutions $228 - $423 181%
First Health $387 307%
Multiplan $410 325%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4501 Bruce B Downs Blvd, Wesley Chapel, FL 33544
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals