CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Tift Regional Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $158
Cash Discount Price: $160
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Tift Regional Medical Center is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $160. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.25x the Medicare baseline. Located in 901 E 18Th Street, Tifton, GA.

Cash / Self-Pay

$160

Average discount available for prompt cash payment at this facility.

Insurance Median

$158

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: $160 (127%)

Insurance Median: $158 (125%)

Cash: $160 (127% of Medicare)

Ins. Median: $158 (125% 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
Wellcare	$26 - $104	21%
Amerigroup	$30 - $120	24%
Medicaid / KanCare	$30 - $120	24%
Peachstate	$32 - $126	25%
Caresource	$33 - $132	26%
Blue Cross Blue Shield	$52 - $532	41%
Va Contract	$59	47%
Humana	$68 - $266	54%
Self Pay 50	$68 - $266	54%
Hospice	$78	62%
Medicare (plans)	$78	62%
Aetna	$79 - $460	63%
Clover Health	$79	63%
Tricare	$79 - $111	63%
UnitedHealthcare	$79 - $450	63%
Pruitt Health Premier	$85	67%
Health One Alliance	$115 - $164	91%
Caresource Marketplace Exchange	$119 - $170	94%
Misc Commercial Insurance Plans	$122 - $479	97%
Self Pay	$122 - $479	97%
Cigna	$123 - $486	97%
Peach State Health Plan	$128	101%
Misc Non Contracted Commercial Plans	$135 - $532	107%
Zelis Network Solutions	$135 - $192	107%
Ga Workers Comp	$386	306%

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 $160.
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 Tift Regional Medical Center 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.