CMS Price Transparency Data
Screening mammogram (both breasts)
Facility: Copley Memorial Hospital
Billing Code: 77067 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$155
about 1.2× the $126 Medicare rate · typically $92–$319
modeled estimate · not a bill or quote
Medicare pays $126 Fair price $155 Cash price $385 Hospital's list price $769
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
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 | $403 - $1,000 | 319% |
| Blue Cross Blue Shieldmajor | $41 - $769 | 32% |
| Aetnamajor | $44 - $769 | 35% |
| Cignamajor | $159 - $769 | 126% |
| Humanamajor | $769 | 609% |
| Devoted Health | $769 | 609% |
| Meridian | $41 | 32% |
| Molina | $42 - $177 | 33% |
| WellCare | $769 | 609% |
| + 1 smaller / regional plan | $815 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Enter your details and press estimate to compare.
Other Procedures at Copley Memorial Hospital
Compare: Screening mammogram (both breasts) at other IL hospitals
- Riverside Medical Center · Kankakee $36
- Mc Donough District Hospital · Macomb $60
- Sarah Bush Lincoln Health Center · Mattoon $60
- Memorial Medical Center · Springfield $61
- Fhn Memorial Hospital · Freeport $75
- St Francis Hospital · Litchfield $78
- Decatur Memorial Hospital · Decatur $79
- Crawford Memorial Hospital · Robinson $80
Insurance negotiated median for the same procedure, sorted lowest first.