CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Memorial Mission Hospital and Asheville Surgery Ce

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $95
  • Cash Discount Price: $474
  • vs. Medicare Baseline: 0.75x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Memorial Mission Hospital and Asheville Surgery Ce is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $474. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.75x the Medicare baseline. Located in 509 Biltmore Ave, Asheville, NC.
Cash / Self-Pay
$474

Average discount available for prompt cash payment at this facility.

Insurance Median
$95

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: $474 (375%)
Insurance Median: $95 (75%)
Cash: $474 (375% of Medicare)
Ins. Median: $95 (75% 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
Alignment Health $85 67%
United $85 - $280 67%
United Behavioral Health $85 67%
Aetna $87 - $343 69%
Blue Cross Blue Shield $87 69%
Humana $88 70%
Wellcare $88 - $90 70%
Pruitthealth Premier $89 70%
Amerihealth $90 71%
Provider Partners Health Plan $90 71%
Partners Health Management $91 72%
Vaya Health $91 72%
Cigna $92 - $236 73%
Troy Healthcare $92 73%
Healthteam Advantage $93 74%
Apex Health $95 75%
Amerihealth Caritas $97 77%
Longevity Health Plan $102 81%
Caresource $208 165%
Medcost $267 - $403 211%
Magellan $284 225%
Magellan Behavioral Health $284 225%
Multiplan $379 300%
Avalon Administrative Services $403 319%
Prime Health $417 - $426 330%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 509 Biltmore Ave, Asheville, NC 28801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals