CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Holmes County Hospital and Clinics

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $123
Cash Discount Price: $99
vs. Medicare Baseline: 0.97x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Holmes County Hospital and Clinics is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $99. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.97x the Medicare baseline. Located in 239 Bowling Green Road, Lexington, MS.

Cash / Self-Pay

$99

Average discount available for prompt cash payment at this facility.

Insurance Median

$123

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: $99 (78%)

Insurance Median: $123 (97%)

Cash: $99 (78% of Medicare)

Ins. Median: $123 (97% 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
Ms-Can-Magnolia-Lex	$71	56%
Ms-Can-Molina-Lex	$71	56%
Ms-Can-Truecare-Lex	$72	57%
Ambetter / Centene	$78	62%
Medadv_Primewell-Lex	$78	62%
Medicare (plans)	$78	62%
Primewell-Lex	$78	62%
Va_Ccn-Lex	$78	62%
Medadv_Uhc-Lex	$81	64%
Medadv_Uhcdsnp-Lex	$81	64%
Wellcare-Lex	$81	64%
Devoted_Health-Lex	$82	65%
Humana	$82	65%
Advhealth-Lex	$91	72%
Blue Cross Blue Shield	$103	82%
Cigna	$143	113%
Molina-Chip-Lex	$151	120%
Tricare	$152	120%
Magnolia-Chip-Lex	$155	123%
Truecare-Chip-Lex	$155	123%
Mpcn-Lex	$161	128%
Molina_Exchange-Lex	$169	134%
Firstchoice-Lex	$173	137%
United-Lex	$184	146%
United-Options-Lex	$186	147%
Ppoplus	$193	153%
Firsthealth-Lex	$198	157%
Multiplan-Lex	$198	157%
Aetna	$210	166%
Phcs-Lex	$222	176%

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 $99.
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 Holmes County Hospital and Clinics 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.