CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Saint Joseph Mount Sterling

Billing Code: 77067 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$168

about 1.3× the $126 Medicare rate · typically $97–$302

modeled estimate · not a bill or quote

What this hospital charges insurers

$132

Below the fair price — a good deal

about $36 under the fair price · 1.0× Medicare

Medicare pays $126 Fair price $168 This hospital $132 Cash price $106 Hospital's list price $289

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $34 Priciest $132

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

A fair price for a Screening mammogram (both breasts) is about $168 (about 1.3× the $126 Medicare rate). Saint Joseph Mount Sterling charges insurers about $132, or about $106 in cash — below the fair price — a good deal. Located in Mount Sterling, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$62 - $287	49%
Blue Cross Blue Shieldmajor	$64 - $178	51%
Aetnamajor	$60 - $218	48%
Humanamajor	$61 - $140	48%
Molina	$62 - $76	49%
WellCare	$55 - $68	44%

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 106), 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 Saint Joseph Mount Sterling 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 Saint Joseph Mount Sterling

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

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