CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Trinity Health Oakland Hospital

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$97
about 0.8× the $126 Medicare rate · typically $54–$155
modeled estimate · not a bill or quote
What this hospital charges insurers
$185
Well above the fair price
about $88 over the fair price · 1.5× Medicare
Medicare pays $126 Fair price $97 This hospital $185 Cash price $320 Hospital's list price $492

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $34 Priciest $185

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

A fair price for a Screening mammogram (both breasts) is about $97 (about 0.8× the $126 Medicare rate). Trinity Health Oakland Hospital charges insurers about $185, or about $320 in cash — well above the fair price. Located in Pontiac, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $97. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

6 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 $91 - $436 72%
Blue Cross Blue Shieldmajor $48 - $206 38%
Aetnamajor $86 - $439 68%
Cignamajor $298 - $431 236%
Humanamajor $295 - $427 234%
Kaiser Permanentemajor $206 163%
AmeriHealth $295 - $427 234%
CareSource $185 147%
Dean Health Plan $273 - $396 216%
GEHA $302 - $436 239%
Health Net $402 - $582 318%
HealthPartners $293 - $424 232%
MagnaCare $295 - $427 234%
Medical Mutual $320 253%
Molina $115 91%
MVP Health Care $273 - $396 216%
Paramount $273 - $396 216%
Priority Health $156 - $173 124%
Tufts Health Plan $293 - $424 232%
UniCare $295 - $427 234%
+ 136 smaller / regional plans $88 - $582
Government programs also on file: Medicare, Medicaid.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 44405 Woodward Ave, Pontiac, MI 48341
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals