CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Guttenberg Municipal Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $430
Cash Discount Price: $444
vs. Medicare Baseline: 3.41x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Guttenberg Municipal Hospital is $430. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $444. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 3.41x the Medicare baseline. Located in 200 Main Street, Guttenberg, IA.

Cash / Self-Pay

$444

Average discount available for prompt cash payment at this facility.

Insurance Median

$430

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: $444 (352%)

Insurance Median: $430 (341%)

Cash: $444 (352% of Medicare)

Ins. Median: $430 (341% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 341% of the Medicare baseline (a markup of 241%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$260 - $609	206%
Medical Associates	$260 - $609	206%
UnitedHealthcare	$260 - $609	206%
Wellmark	$260 - $609	206%
Molina	$272 - $609	215%
Humana	$276 - $609	219%
Iowa Total Care	$300 - $609	238%
Health Partners	$350 - $426	277%
Midlands Choice	$350 - $426	277%
Quartz	$400 - $487	317%
Health Choices	$430 - $524	341%

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 $444.
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 Guttenberg Municipal 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.