CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Doctors Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $152
Cash Discount Price: $1,313
vs. Medicare Baseline: 1.20x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Doctors Hospital is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,313. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.20x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.

Cash / Self-Pay

$1,313

Average discount available for prompt cash payment at this facility.

Insurance Median

$152

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: $1,313 (1040%)

Insurance Median: $152 (120%)

Cash: $1,313 (1040% of Medicare)

Ins. Median: $152 (120% 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
Blue Choice	$42	33%
Blue Cross Blue Shield	$51 - $252	40%
Humana	$77 - $81	61%
Health Net	$79	63%
Devoted Health	$81	64%
Regency Hospice	$81	64%
St Joseph Hospice	$81	64%
United	$81 - $591	64%
Aetna	$82 - $724	65%
Healthspring	$82	65%
Absolute Total Care	$83 - $236	66%
Coventry	$83	66%
Wellcare	$83 - $263	66%
Clover	$86	68%
Eon Health	$86	68%
Georgia Assurance	$86	68%
Shared Health	$86	68%
Qtc Medical Group	$98	78%
Health One Alliance	$142	112%
Amerigroup	$186	147%
Ambetter / Centene	$192	152%
Nhc Advantage	$249	197%
Pruitt Health	$249	197%
Peach State	$263	208%
Centurion	$363	288%
Americas 1St Choice	$368	291%
Medcost	$658 - $839	521%
Multiplan	$788 - $1,181	624%
Performax	$893	707%
First Health	$984	779%
Employer'S Health Network	$1,050	832%
Novanet	$1,181	935%

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 $1,313.
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 Doctors 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.