CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Franciscan Health Mooresville

Billing Code: 77067 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$205

about 1.6× the $126 Medicare rate · typically $85–$291

modeled estimate · not a bill or quote

What this hospital charges insurers

$215

About the fair price

about $10 over the fair price · 1.7× Medicare

Medicare pays $126 Fair price $205 This hospital $215 Cash price $171 Hospital's list price $672

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $34 Priciest $215

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

A fair price for a Screening mammogram (both breasts) is about $205 (about 1.6× the $126 Medicare rate). Franciscan Health Mooresville charges insurers about $215, or about $171 in cash — about the fair price. Located in Mooresville, IN.

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	$399 - $407	316%
Blue Cross Blue Shieldmajor	$84 - $232	67%
Aetnamajor	$215 - $463	170%
Cignamajor	$428	339%
Humanamajor	$468	371%
UniCare	$169 - $232	134%
+ 5 smaller / regional plans	$215 - $672

Government programs also on file: Medicare, Medicaid.

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 171), 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 Franciscan Health Mooresville 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 Franciscan Health Mooresville

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

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