CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Harrison County Community Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $140
Cash Discount Price: $125
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Harrison County Community Hospital is $140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.11x the Medicare baseline. Located in 2600 Miller Street, Bethany, MO.

Cash / Self-Pay

$125

Average discount available for prompt cash payment at this facility.

Insurance Median

$140

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: $125 (99%)

Insurance Median: $140 (111%)

Cash: $125 (99% of Medicare)

Ins. Median: $140 (111% 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
Aetna	$100 - $185	79%
Allwell	$102 - $127	81%
Ambetter / Centene	$102 - $127	81%
Blue Advantage Plus	$102 - $127	81%
Care Improvement Plus	$102 - $122	81%
Humana	$102 - $189	81%
UnitedHealthcare	$102 - $178	81%
Provider Partners Health Plans	$110 - $132	87%
Cigna	$111 - $168	88%
Blue Cross Blue Shield	$112 - $185	89%
6 Degrees Health	$140 - $168	111%
Multiplan	$140 - $168	111%
Wellmark	$140 - $168	111%
Healthy Blue	$160 - $164	127%
Home State	$160 - $164	127%

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 $125.
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 Harrison County Community 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.