CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Fhn Memorial Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $177
  • Cash Discount Price: $168
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Fhn Memorial Hospital is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.40x the Medicare baseline. Located in 1045 West Stephenson Street, Freeport, IL.
Cash / Self-Pay
$168

Average discount available for prompt cash payment at this facility.

Insurance Median
$177

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: $168 (133%)
Insurance Median: $177 (140%)
Cash: $168 (133% of Medicare)
Ins. Median: $177 (140% 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
Aetna $35 - $244 28%
Health Alliance Mcr Adv $35 - $119 28%
Humana $35 - $347 28%
Quartz Mcr Adv $35 - $119 28%
UnitedHealthcare $35 - $342 28%
Meridian Health Plan - All Plans $41 - $196 32%
Osf Healthplans - All Plans $61 - $439 48%
Quartz - All Other Plans $61 - $285 48%
Northern Il Hp - All Plans $70 - $303 55%
Ecoh - All Other Plans $75 - $298 59%
Ecoh Nihp $75 - $276 59%
Blue Cross Blue Shield $84 - $296 67%
Hfn - All Plans $86 - $360 68%
Galaxy - All Plans $91 - $395 72%
Health Alliance - All Other Plans $91 - $395 72%
Interplan Health - All Plans $91 - $395 72%
Midland Choice - All Plans $91 - $417 72%
Multiplan Phcs - All Plans $91 - $373 72%
Preferred Plan Ppo - All Plans $91 - $395 72%
Wps - All Plans $91 - $384 72%
Trustmark - All Plans $93 - $404 74%
The Alliance - All Plans $98 - $263 78%
Nihp Employ - All Plans $140 - $276 111%
First Health - All Plans $157 - $309 124%
First Choice Il - All Plans $190 - $373 150%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1045 West Stephenson Street, Freeport, IL 61032
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals