CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Rockcastle County Hospital, Inc.

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $115
  • Cash Discount Price: $307
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Rockcastle County Hospital, Inc. is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $307. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.91x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.
Cash / Self-Pay
$307

Average discount available for prompt cash payment at this facility.

Insurance Median
$115

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: $307 (243%)
Insurance Median: $115 (91%)
Cash: $307 (243% of Medicare)
Ins. Median: $115 (91% 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
Passport Hp Hmo - All Plans $50 40%
UnitedHealthcare $68 - $103 54%
Tricare $86 68%
Caresource Mcaid $103 82%
Coventry Mcaid-All Plans $103 82%
Medicaid / KanCare $103 82%
Molina Mcaid $103 82%
Blue Cross Blue Shield $110 - $123 87%
Caresource Mcr Adv-All Other Plans $115 91%
Humana $115 91%
Molina Marketplace - All Other Plans $115 91%
Molina Mcr Adv $115 91%
Signature Mcr Adv-All Plans $115 91%
Wellcare Mcr Adv-All Other Plans $115 91%
Multiplan-All Plans $321 - $366 254%
Prime Health Services-All Plans $321 - $366 254%
Integrated Hp-All Plans $336 - $383 266%
Corvel - All Plans $340 - $387 269%
Center Care-All Plans $359 - $408 284%
Cigna $367 - $417 291%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 145 Newcomb Avenue, Mount Vernon, KY 40456
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals