CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Centerpoint Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $141
Cash Discount Price: $532
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Centerpoint Medical Center is $141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $532. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.12x the Medicare baseline. Located in 19600 East 39Th Street, Independence, MO.

Cash / Self-Pay

$532

Average discount available for prompt cash payment at this facility.

Insurance Median

$141

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: $532 (421%)

Insurance Median: $141 (112%)

Cash: $532 (421% of Medicare)

Ins. Median: $141 (112% 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
Global Sports Services	$25	20%
Blue Cross Blue Shield	$69 - $245	55%
United	$72 - $239	57%
Healthyblue	$74	59%
Medicaid / KanCare	$74	59%
Amerigroup	$75	59%
Unicare	$75	59%
Home State Health Plan	$76	60%
Coventry	$85 - $214	67%
Devoted Health	$86	68%
Humana	$86 - $141	68%
Celtic	$87	69%
Cigna	$87 - $426	69%
Wellcare	$87	69%
Pyramid Life	$92	73%
Ambetter / Centene	$99	78%
Nhc Advantage	$101	80%
Wppa Providrs Care Network	$106	84%
Aetna	$117 - $283	93%
Multiplan	$130 - $394	103%
Corvel Corporation	$155 - $346	123%
Oha Network	$161 - $266	128%
Universal Healthcare	$186	147%
Coventry Kc Mo	$218	173%
College Park Family Care Center	$229	181%
Cco, Inc.	$452	358%
Focus Healthcare Mgmt, Inc	$479	379%

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 $532.
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 Centerpoint 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.