CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Cass County Memorial Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $167
  • Cash Discount Price: $273
  • vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Cass County Memorial Hospital is $167. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $273. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.32x the Medicare baseline. Located in 1501 East Tenth Street, Atlantic, IA.
Cash / Self-Pay
$273

Average discount available for prompt cash payment at this facility.

Insurance Median
$167

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: $273 (216%)
Insurance Median: $167 (132%)
Cash: $273 (216% of Medicare)
Ins. Median: $167 (132% 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.

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
Midlands Choice Medica Mcr $78 62%
UnitedHealthcare $135 - $164 107%
Triwest - All Plans $159 126%
Aetna $164 - $370 130%
Amerigroup Mcr Adv - All Other Plans $164 130%
Medica Mcr Adv $164 130%
Tricare $164 130%
Va Ccn - All Plans $164 130%
Wellmark Mcr Adv $165 131%
Iowa Total Care Mcaid $167 132%
Iowa Total Care Mcr $167 132%
Molina Mcaid - All Plans $167 132%
American Hlth Mcr Adv - All Plans $169 134%
Medicaid / KanCare $169 134%
Iowa Total Care Comm - All Other Plans $180 143%
Wellmark Hmo $208 165%
Wellmark Ppo - All Other Plans $229 181%
Midlands Choice New Bus $254 201%
Medica Comm - All Other Plans $343 272%
Midlands Choice Pho (Ppo) - All Other Plans $351 278%
Multiplan - All Plans $370 293%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1501 East Tenth Street, Atlantic, IA 50022
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals