CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Rochelle Community Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $252
Cash Discount Price: $343
vs. Medicare Baseline: 2.00x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Rochelle Community Hospital is $252. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $343. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 2.00x the Medicare baseline. Located in 900 N 2Nd St, Rochelle, IL.

Cash / Self-Pay

$343

Average discount available for prompt cash payment at this facility.

Insurance Median

$252

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: $343 (272%)

Insurance Median: $252 (200%)

Cash: $343 (272% of Medicare)

Ins. Median: $252 (200% 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	$82 - $194	65%
Blue Cross Blue Shield	$82 - $389	65%
Medicaid / KanCare	$82	65%
Health Alliance Mcr Adv	$104 - $136	82%
Humana	$104 - $311	82%
UnitedHealthcare	$104 - $350	82%
Va Ccn - All Plans	$104 - $136	82%
Wellcare Mcr Adv - All Plans	$106 - $139	84%
Cigna	$223 - $292	177%
Osf Dan Ppo - All Plans	$223 - $292	177%
Beech Street-All Plans	$238 - $311	189%
First Health - All Plans	$238 - $311	189%
Health Alliance-All Other Plans	$238 - $311	189%
Ecoh-All Plans	$252 - $331	200%
Hfn-All Plans	$252 - $331	200%
The Alliance-All Plans	$252 - $331	200%
Quartz Health Solutions-All Plans	$261 - $342	207%
Multiplan-All Plans	$279 - $366	221%

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 $343.
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 Rochelle Community Hospital 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.