CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Barnes Jewish Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $349
Cash Discount Price: $282
vs. Medicare Baseline: 2.76x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Barnes Jewish Hospital is $349. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $282. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 2.76x the Medicare baseline. Located in One Barnes-Jewish Hospital Plaza, Saint Louis, MO.

Cash / Self-Pay

$282

Average discount available for prompt cash payment at this facility.

Insurance Median

$349

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: $282 (223%)

Insurance Median: $349 (276%)

Cash: $282 (223% of Medicare)

Ins. Median: $349 (276% 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 276% of the Medicare baseline (a markup of 176%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
UnitedHealthcare	$44 - $349	35%
Blue Cross Blue Shield	$190 - $409	150%
Healthlink [225]	$228 - $355	181%
Cox Health Systems Insurance Company [220]	$258 - $306	204%
Health Alliance [224]	$258	204%
Allied Benefits [498]	$273 - $389	216%
Hope Trust [806]	$273	216%
Healthscope Benefits [258]	$274 - $306	217%
Cigna	$284 - $400	225%
Med-Pay [480]	$306 - $352	242%
Unicare [568]	$306 - $355	242%
Humana	$318	252%
Consociate [478]	$338	268%
Sarah Bush Lincoln [636]	$338	268%
Aetna	$349 - $389	276%
First Health Commercial [734]	$349	276%
Beechstreet [551]	$352	279%
Detego Health [868]	$352	279%
Health Systems Inc [620]	$352	279%
Healthcare Sol Mercy [609]	$352	279%
Multiplan Commercial [737]	$352	279%
Multiplan [240]	$352	279%
Phcs [244]	$352 - $376	279%
Preferred Health Professionals [561]	$355	281%
Medica [661]	$376	298%
Coresource [497]	$389	308%
Fmh Benefit Service Inc [222]	$389	308%
Mail Handlers [495]	$389	308%
Apwu Health Plan [216]	$392	310%
Nalc Health Benefit Plan [242]	$392	310%
Priority Health [648]	$392	310%
Hfn [563]	$400	317%

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 $282.
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 Barnes Jewish Hospital 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.