CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Saint Joseph Hospital-Elgin

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$112

about 0.9× the $126 Medicare rate · typically $92–$185

modeled estimate · not a bill or quote

What this hospital charges insurers

$94

Below the fair price — a good deal

about $18 under the fair price · 0.7× Medicare

Medicare pays $126 Fair price $112 This hospital $94 Cash price $93 Hospital's list price $932

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $36 Priciest $94

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Screening mammogram (both breasts) is about $112 (about 0.9× the $126 Medicare rate). Saint Joseph Hospital-Elgin charges insurers about $94, or about $93 in cash — below the fair price — a good deal. Located in Elgin, IL.

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	$94 - $117	74%
Blue Cross Blue Shieldmajor	$41 - $131	32%
Aetnamajor	$41 - $99	32%
Cignamajor	$94 - $852	74%
Humanamajor	$41 - $103	32%
Ambetter (Centene)	$152	120%
Devoted Health	$94	74%
Health Net	$113	90%
HealthPartners	$94 - $108	74%
Meridian	$43 - $99	34%
Molina	$43 - $141	34%
WellCare	$94	74%
+ 9 smaller / regional plans	$94 - $146

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 93), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77067.

Insurance Before you use insurance

Call your insurance company to confirm Saint Joseph Hospital-Elgin is in-network.
Ask your insurer whether prior approval is required for CPT code 77067.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Saint Joseph Hospital-Elgin

Compare: Screening mammogram (both breasts) at other IL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.