CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Jay Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $172
Cash Discount Price: $53
vs. Medicare Baseline: 1.36x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Jay Hospital is $172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $53. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.36x the Medicare baseline. Located in 14114 Alabama St, Jay, FL.

Cash / Self-Pay

$53

Average discount available for prompt cash payment at this facility.

Insurance Median

$172

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: $53 (42%)

Insurance Median: $172 (136%)

Cash: $53 (42% of Medicare)

Ins. Median: $172 (136% 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
Aetna	$30 - $167	24%
Cha Health Plan	$30	24%
Simply Healthcare Healthy Kids	$30	24%
Humana	$32 - $172	25%
Staywell	$32	25%
Sunshine Health	$32	25%
Wellcare	$37 - $77	29%
UnitedHealthcare	$46 - $87	36%
Fl Community Care Ltc	$49	39%
Bc Fl	$77	61%
Medicare (plans)	$174	138%
Hospice Emerald Coast	$175	139%
Hospice Regency	$175	139%
Hospice Vitas	$175	139%
Cigna	$194 - $350	154%
Private Healthcare	$228	181%
First Health	$248	196%
Wc Corvel	$249 - $332	197%
Fl Blue	$257 - $359	204%
Multiplan	$312	247%

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 $53.
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 Jay 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.