CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: West Valley Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $197
  • Cash Discount Price: $303
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at West Valley Medical Center is $197. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $303. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.56x the Medicare baseline. Located in 1717 Arlington Street, Caldwell, ID.
Cash / Self-Pay
$303

Average discount available for prompt cash payment at this facility.

Insurance Median
$197

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: $303 (240%)
Insurance Median: $197 (156%)
Cash: $303 (240% of Medicare)
Ins. Median: $197 (156% 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
Blue Cross Blue Shield $29 - $8,793 23%
Molina $29 - $84 23%
Humana $84 - $255 67%
Regence Blue Shield $84 67%
St Luke'S Health Partners $84 - $197 67%
Veteran'S Administration $84 67%
United $85 - $217 67%
Select Health Idaho (Eirmc Only) $97 77%
Corizon Health $112 89%
True Blue $120 95%
Cigna $170 135%
Pacificsource Health $181 143%
Moda $189 150%
Regence $212 168%
Aetna $240 190%
Four Rivers Hospice $243 192%
Multiplan $243 192%
Geha Ppo Usa $258 204%
Coventry First Health $273 216%
St Alphonsus Health $273 216%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1717 Arlington Street, Caldwell, ID 83605
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals