CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Wayne General Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $121
Cash Discount Price: $168
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Wayne General Hospital is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.96x the Medicare baseline. Located in 950 Matthew Dr, Waynesboro, MS.

Cash / Self-Pay

$168

Average discount available for prompt cash payment at this facility.

Insurance Median

$121

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: $168 (133%)

Insurance Median: $121 (96%)

Cash: $168 (133% of Medicare)

Ins. Median: $121 (96% 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
Cigna	$50 - $112	40%
Ml Healthcare-All Plans	$67	53%
Humana	$101	80%
Al Healthcare Adv Mcaid-All Plans	$110	87%
Alabama Community Mcaid-All Plans	$110	87%
Medicaid / KanCare	$110	87%
Univita Healthcare Mcaid-All Plans	$110	87%
Amerigroup Mcare Adv-All Plans	$112	89%
Magnolia Mcare Adv	$112	89%
Molina Mcare Adv	$112	89%
Vantage Health Mcare Adv	$112	89%
Wellcare Mcare Adv-All Plans	$112	89%
Ahs-All Plans	$118	93%
Molina Chip-All Other Plans	$121	96%
Phcs-All Plans	$126	100%
Mhci/Healthlink Op Only-All Plans	$143	113%
Ms Health Partners-All Plans	$143	113%
Ppoplus-All Plans	$143	113%
First Choice-All Other Plans	$151	120%
First Health-All Plans	$151	120%
Geha Ppo-All Plans	$151	120%
Healthcare Advantage-All Plans	$151	120%
United Providers-All Plans	$151	120%
Three Rivers Provider Network-All Plans	$160	127%
Aetna	$168	133%
Magnolia Comm/Exchange-All Other Plans	$168	133%
First Choice Hie	$210	166%
Vantage Health-All Other Plans	$257	204%
Blue Cross Blue Shield	$314	249%

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 $168.
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 Wayne General 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.