CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: UW Health

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $162
Cash Discount Price: $61
vs. Medicare Baseline: 1.28x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at UW Health is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.28x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.

Cash / Self-Pay

$61

Average discount available for prompt cash payment at this facility.

Insurance Median

$162

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: $61 (48%)

Insurance Median: $162 (128%)

Cash: $61 (48% of Medicare)

Ins. Median: $162 (128% 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.

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
Aetna	$66 - $386	52%
Blue Cross Blue Shield	$66 - $381	52%
Medicaid / KanCare	$66	52%
Humana	$83	66%
Medicare (plans)	$83 - $541	66%
Mychoice Wi Medical Adv	$83	66%
UnitedHealthcare	$83 - $416	66%
Quartz Aso	$131 - $292	104%
Quartz Fully Insured	$131 - $186	104%
Cigna	$140 - $427	111%
Ecoh	$159 - $421	126%
Hfn	$159 - $421	126%
Alliance Premier Network	$187 - $292	148%
Wps	$190	150%
The Alliance	$203 - $376	161%
Workers Comp	$203	161%
Beloit Healt System	$221 - $483	175%
Mercy Care	$267	211%
Wps Ppo	$414	328%
Mercycare	$499	395%
First Health/Coventry	$526	417%
Health Payment Systems	$624	494%
Healthsmart	$624	494%
Sheboygan Employers Health Network	$666	528%
Multiplan	$744	589%

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 $61.
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 UW Health 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.