CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Fishermen's Community Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $149
  • Cash Discount Price: $475
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Fishermen's Community Hospital is $149. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $475. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.18x the Medicare baseline. Located in 3301 Overseas Hwy, Marathon, FL.
Cash / Self-Pay
$475

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: $475 (376%)
Insurance Median: $149 (118%)
Cash: $475 (376% 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.

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
Amerigroup $14 - $29 11%
Medicaid / KanCare $14 - $32 11%
UnitedHealthcare $14 - $731 11%
Sunshine State $15 - $31 12%
Wellcare $15 - $30 12%
Aetna $16 - $560 13%
Vista $16 - $31 13%
Blue Cross Blue Shield $95 - $731 75%
Leon Medical $95 75%
Medica Health Plan $95 75%
Medicare (plans) $95 - $129 75%
Humana $104 82%
Avmed $105 - $605 83%
Cigna $109 - $585 86%
Non Contracted $268 212%
International $475 376%
Amerihealth $548 434%
Dimension Health Plan $548 - $658 434%
Affordable $658 521%
Phcs $658 521%
Quality Health $658 521%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3301 Overseas Hwy, Marathon, FL 33050
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals