CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Memorial Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $312
Cash Discount Price: $578
vs. Medicare Baseline: 2.47x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Memorial Medical Center is $312. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $578. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 2.47x the Medicare baseline. Located in 701 N First St, Springfield, IL.

Cash / Self-Pay

$578

Average discount available for prompt cash payment at this facility.

Insurance Median

$312

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: $578 (458%)

Insurance Median: $312 (247%)

Cash: $578 (458% of Medicare)

Ins. Median: $312 (247% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 247% of the Medicare baseline (a markup of 147%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Health Alliance	$18 - $376	14%
Veterans Administration	$29 - $58	23%
Medicaid / KanCare	$30 - $60	24%
Molina	$31 - $61	25%
Blue Cross Blue Shield	$37 - $578	29%
Aetna	$40 - $439	32%
Medicare (plans)	$40 - $578	32%
Tricare	$40 - $80	32%
UnitedHealthcare	$40 - $358	32%
Humana	$42 - $347	33%
Current Health Network Ppo	$260	206%
Healthlink	$289 - $364	229%
Commercial Workers Compensation	$292	231%
Cigna	$303	240%
Illinois Workers Compensation	$308	244%
Phcs/Multiplan	$312 - $347	247%
6 Degrees Health	$347	275%
Hopetrust	$347	275%
Hst	$347	275%
Magellan	$347	275%
Consociate	$376	298%
Hfn	$376	298%
Preferred Plan	$434	344%
Soi Mcfarland	$434	344%
Soi Rushville	$434	344%
Corvel	$462	366%
Methodist First Choice	$462	366%
Mutual Medical Plans	$491	389%
Liability	$578	458%

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 $578.
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 Memorial Medical 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.