CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Golden Valley Memorial Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $37
  • Cash Discount Price: $189
  • vs. Medicare Baseline: 0.29x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Golden Valley Memorial Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $189. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.29x the Medicare baseline. Located in 1600 N 2Nd St, Clinton, MO.
Cash / Self-Pay
$189

Average discount available for prompt cash payment at this facility.

Insurance Median
$37

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: $189 (150%)
Insurance Median: $37 (29%)
Cash: $189 (150% of Medicare)
Ins. Median: $37 (29% 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
Aetna $34 27%
Humana $34 27%
UnitedHealthcare $34 - $120 27%
Ambetter / Centene $40 32%
Home State Health $120 95%

Consumer Guidance & Cost Commentary

For a screening mammogram at Golden Valley Memorial Hospital in Clinton, MO, the cash median price is $189. This rate is significantly lower than the facility's gross charge of $315 and the state average of $37 for the same service. While commercial insurance plans like UnitedHealthcare, Home State Health, and Aetna have negotiated rates as high as $120 or $34, patients with high-deductible plans may find paying the cash price of $189 upfront more economical if their insurance allowed amount exceeds this figure. The facility, owned by a Government Hospital District, lists a cash rate of $189, which is notably higher than the state average of $37 but represents a direct reduction from the gross charge of $315.

The Medicare amount for this procedure is $126.25, which serves as a key benchmark for understanding the true cost of care versus commercial markups. Although the facility has a 3-star rating and serves 5 payers, the data indicates that the median negotiated rate is $37, a figure that appears lower than the cash price but may not reflect the actual amount paid by patients after deductibles or co-pays are applied. Patients should be aware that while the No Surprises Act protects against balance billing for emergency care at in-network facilities, it is still critical to request a full itemized bill before paying to ensure no unbundled codes or services not rendered are included. Additionally, patients should explicitly ask the hospital about "prompt-pay" discounts or "self-pay" rates before scheduling, as these upfront discounts can further reduce the final cost compared to standard billing cycles.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 N 2Nd St, Clinton, MO 64735
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals