CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Waverly Health Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $236
Cash Discount Price: $232
vs. Medicare Baseline: 1.87x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Waverly Health Center is $236. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $232. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.87x the Medicare baseline. Located in 312 9Th Street Sw, Waverly, IA.

Cash / Self-Pay

$232

Average discount available for prompt cash payment at this facility.

Insurance Median

$236

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: $232 (184%)

Insurance Median: $236 (187%)

Cash: $232 (184% of Medicare)

Ins. Median: $236 (187% 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
UnitedHealthcare	$124 - $397	98%
Choicecare Network - All Plans	$125 - $217	99%
Medicare (plans)	$140 - $243	111%
Midlands Choice Mcare	$140 - $243	111%
Wellmark Hmo	$205	162%
Hlth Partners Bridges Ntwrk	$226 - $393	179%
Hlth Partners Open Ntwrk - All Other Plans	$226 - $393	179%
Wellmark Ppo - All Other Plans	$226	179%
Aetna	$276 - $481	219%
Health Alliance-All Plans	$292 - $509	231%
Midlands Choice-All Other Plans	$292 - $509	231%

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 $232.
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 Waverly Health 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.