CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Louis A Weiss Memorial Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $102
  • Cash Discount Price: $409
  • vs. Medicare Baseline: 0.81x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Louis A Weiss Memorial Hospital is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $409. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.81x the Medicare baseline. Located in 4646 N Marine Drive, Chicago, IL.
Cash / Self-Pay
$409

Average discount available for prompt cash payment at this facility.

Insurance Median
$102

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: $409 (324%)
Insurance Median: $102 (81%)
Cash: $409 (324% of Medicare)
Ins. Median: $102 (81% 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 $80 - $216 63%
Humana $80 - $83 63%
Aetna $83 - $782 66%
Ambetter / Centene $83 66%
Cigna $83 - $307 66%
Longevity $83 66%
Wellcare $83 66%
Zing $83 66%
Oscar $84 67%
Golden Rule $119 94%
UnitedHealthcare $119 94%
Nalc $307 243%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4646 N Marine Drive, Chicago, IL 60640
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals