CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Community Health Network Rehabilitation Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $207
  • Cash Discount Price: $207
  • vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Community Health Network Rehabilitation Hospital is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $207. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.64x the Medicare baseline. Located in 7343 Clearvista Dr, Indianapolis, IN.
Cash / Self-Pay
$207

Average discount available for prompt cash payment at this facility.

Insurance Median
$207

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: $207 (164%)
Insurance Median: $207 (164%)
Cash: $207 (164% of Medicare)
Ins. Median: $207 (164% 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
Encore $132 105%
UnitedHealthcare $141 - $207 112%
Encore Combined $145 115%
Parkview Signature Care $166 131%
Aetna $207 164%
Allwell From Mhs $207 164%
Ambetter / Centene $207 164%
Blue Cross Blue Shield $207 164%
Caresource Hip-Mcd $207 164%
Caresource Marketplace $207 164%
Cigna $207 164%
Community Health Direct $207 164%
Humana $207 164%
Medicaid / KanCare $207 164%
Medicare (plans) $207 164%
Mhs Hip-Mcd $207 164%
Mytru Advantage $207 164%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7343 Clearvista Dr, Indianapolis, IN 46256
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL