CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: High Point Regional Health System

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $182
Cash Discount Price: $217
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at High Point Regional Health System is $182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $217. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.44x the Medicare baseline. Located in 601 N Elm St, High Point, NC.

Cash / Self-Pay

$217

Average discount available for prompt cash payment at this facility.

Insurance Median

$182

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: $217 (172%)

Insurance Median: $182 (144%)

Cash: $217 (172% of Medicare)

Ins. Median: $182 (144% 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
Amerihealth	$63 - $141	50%
Carolina Complete	$63	50%
Healthy Blue	$63	50%
Partners	$63	50%
UnitedHealthcare	$63 - $289	50%
Vaya	$63	50%
Wellcare	$63	50%
Alliance	$64	51%
Trillium	$65	51%
Medcost	$116 - $278	92%
Aetna	$129 - $281	102%
Oscar	$130 - $173	103%
Ambetter / Centene	$139	110%
Blue Cross Blue Shield	$182 - $292	144%
Cigna	$238	189%
Directnet	$256	203%
Private Healthcare Systems	$355	281%
Multiplan	$390	309%
Humana	$403 - $411	319%

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 $217.
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 High Point Regional Health System 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.