CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Murray-Calloway County Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $279
  • Cash Discount Price: $364
  • vs. Medicare Baseline: 2.21x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Murray-Calloway County Hospital is $279. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $364. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 2.21x the Medicare baseline. Located in 803 Poplar Street, Murray, KY.
Cash / Self-Pay
$364

Average discount available for prompt cash payment at this facility.

Insurance Median
$279

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: $364 (288%)
Insurance Median: $279 (221%)
Cash: $364 (288% of Medicare)
Ins. Median: $279 (221% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 221% of the Medicare baseline (a markup of 121%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $86 - $189 68%
Humana $115 - $379 91%
Tricare $115 91%
Triwest - All Plans $115 91%
Wellcare Mcr Adv $117 93%
Wellcare Health Plan Inc $132 105%
Aetna $188 - $189 149%
Coventry Cares Of Ky - All Plans $188 - $189 149%
Medicaid / KanCare $188 - $189 149%
Passport Health - All Plans $188 - $189 149%
Medben Mcch Employees $196 155%
Ambetter / Centene $224 177%
Occunet - All Plans $278 - $281 220%
UnitedHealthcare $285 - $288 226%
Health Cost Solutions - All Plans $288 228%
Medben City Of Murray - All Other Plans $334 - $337 265%
Center Care - All Plans $401 - $405 318%
Bluegrass - All Plans $418 - $422 331%
Three Rivers - All Plans $446 - $450 353%
First Health - All Plans $501 - $506 397%
Healthsmart - All Plans $501 - $506 397%
Multiplan - All Plans $501 - $506 397%
Corvel Corporation - All Plans $557 - $562 441%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 803 Poplar Street, Murray, KY 42071
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals