CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Pali Momi Medical Center

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$114
about 0.9× the $126 Medicare rate · typically $81–$152
modeled estimate · not a bill or quote
What this hospital charges insurers
$131
About the fair price
about $17 over the fair price · 1.0× Medicare
Medicare pays $126 Fair price $114 This hospital $131 Cash price $238 Hospital's list price $397

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

On the higher side — 7 of 8 other HI hospitals charge less.

Cheapest $36 Priciest $146

Black dot = this hospital, among the 9 HI hospitals with a price for this procedure. Full list below.

A fair price for a Screening mammogram (both breasts) is about $114 (about 0.9× the $126 Medicare rate). Pali Momi Medical Center charges insurers about $131, or about $238 in cash — about the fair price. Located in Aiea, HI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Kaiser Permanente Blue Cross Blue ShieldCignaHumana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $85 - $94 67%
Aetnamajor $321 - $354 254%
Kaiser Permanentemajor $302 - $333 239%
Devoted Health $178 141%
+ 9 smaller / regional plans $88 - $333
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 98-1079 Moanalua Road, Aiea, HI 96701
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals