CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Covenant Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $118
Cash Discount Price: $382
vs. Medicare Baseline: 0.93x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Covenant Medical Center is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $382. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.93x the Medicare baseline. Located in 1447 N Harrison, Saginaw, MI.

Cash / Self-Pay

$382

Average discount available for prompt cash payment at this facility.

Insurance Median

$118

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: $382 (303%)

Insurance Median: $118 (93%)

Cash: $382 (303% of Medicare)

Ins. Median: $118 (93% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Health Advantage Mclaren Employee	$27 - $300	21%
Priority Health E	$28 - $251	22%
Aetna	$34 - $401	27%
Blue Cross Blue Shield	$34 - $205	27%
Health Alliance Plan Of Michigan	$34 - $227	27%
Healthy Michigan Mclaren	$34 - $118	27%
Healthy Michigan Meridian	$34 - $118	27%
Healthy Michigan Molina	$34 - $118	27%
Healthy Michigan Priority Health	$34 - $118	27%
Humana	$34 - $409	27%
Mclaren Advantage	$34 - $118	27%
Molina Healthplan	$34 - $118	27%
Physicians Health Plan	$34 - $300	27%
Physicians Health Plan Advantage/Advantage Plus	$34 - $118	27%
Priority Health	$34 - $300	27%
Mclaren Health Advantage	$40 - $245	32%
Meritain Health	$47 - $417	37%
Multiplan	$55 - $490	44%
Blue Care Network	$58 - $205	46%
Cigna	$300	238%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $382.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77067.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Covenant Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77067.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.