CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Neshoba County General Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $112
  • Cash Discount Price: $122
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Neshoba County General Hospital is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.89x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$122

Average discount available for prompt cash payment at this facility.

Insurance Median
$112

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: $122 (97%)
Insurance Median: $112 (89%)
Cash: $122 (97% of Medicare)
Ins. Median: $112 (89% 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 $87 69%
Tricare $101 80%
Magnolia Mcaid $110 87%
Molina Mcaid $110 87%
Mpcn Mcaid $110 87%
UnitedHealthcare $110 - $208 87%
Humana $112 89%
Magnolia Mcr Adv-All Other Plans $112 89%
Molina Comm-All Other Plans $112 89%
Molina Mcr Adv $112 89%
Wellcare Mcr Adv-All Plans $112 89%
Cigna $113 90%
Ahs Ip/Op Only-All Plans $130 103%
Blue Cross Blue Shield $139 110%
First Choice Comm Ip/Op Only - All Plans $140 111%
Affordable Health Care-All Plans $148 117%
Health Choice Ip/Op Only-All Plans $148 117%
Health Link Ip/Op Only-All Plans $148 117%
Geha-All Plans $157 124%
Multiplan-All Plans $157 124%
Mpcn Ip/Op Only-All Other Plans $217 172%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL