Screening mammogram (both breasts)
Facility: UNC Health Care Wayne
Billing Code: 77067 (CPT)
This hospital's typical commercial price is $87 compared to the $97 fair price benchmark.
3-Star CMS clinical quality rating paired with 0.90× fair market pricing.
Highest price of the 9 NC hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Screening mammogram (both breasts) is about $97 (about 0.8× the $126 Medicare rate). UNC Health Care Wayne charges insurers about $87, or about $308 in cash — below the fair price — a good deal. Located in Goldsboro, NC.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $39 - $569 | 31% |
| Blue Cross Blue Shieldmajor | $80 - $254 | 63% |
| Aetnamajor | $88 - $442 | 70% |
| Cignamajor | $87 - $569 | 69% |
| Humanamajor | $83 - $85 | 66% |
| AmeriHealth | $39 - $141 | 31% |
| WellCare | $39 - $141 | 31% |
| + 9 smaller / regional plans | $39 - $569 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at UNC Health Care Wayne
Compare: Screening mammogram (both breasts) at other NC hospitals
- Betsy Johnson Regional Hospital · Dunn $35
- Cape Fear Valley Hoke Hospital · Raeford $35
- Scotland Memorial Hospital · Laurinburg $81
- Duke University Hospital · Durham $83
- North Carolina Baptist Hospital · Winston-Salem $83
- Duke Regional Hospital · Durham $83
- Central Carolina Hospital · Sanford $84
- Carteret General Hospital · Morehead City $84
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at UNC Health Care Wayne (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $187
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $187).
Self-Pay Cash Rate ($308) Beats Your Bill
UNC Health Care Wayne's published 45 CFR § 180 self-pay cash rate is $308 (vs. $87 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $97 Fair BaseRate ($126 Medicare)
Your bill ($514) is $417 above the denoised Fair BaseRate ($97) and 4.1× the $126 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.