CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Caromont Regional Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $127
  • Cash Discount Price: $478
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Caromont Regional Medical Center is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $478. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.01x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.
Cash / Self-Pay
$478

Average discount available for prompt cash payment at this facility.

Insurance Median
$127

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: $478 (379%)
Insurance Median: $127 (101%)
Cash: $478 (379% of Medicare)
Ins. Median: $127 (101% 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
Kintegra Health $34 27%
Blue Cross Blue Shield $57 - $167 45%
Carolina Complete Health $57 - $86 45%
Partners Behavioral Health $57 - $86 45%
Alliance Behavioral Health $59 - $88 47%
Amerihealth Caritas $59 - $88 47%
Carolina Complete Health Tailored Plans $59 - $88 47%
UnitedHealthcare $59 - $160 47%
Vaya Behavioral Health $59 - $88 47%
Wellcare $59 - $88 47%
Absolute Total Care $107 - $161 85%
Molina $107 - $161 85%
Gaston County Jail $115 - $172 91%
Aetna $124 - $186 98%
Devoted Health $125 99%
Healthteam $125 99%
Longevity Health $125 99%
Humana $127 - $504 101%
Surgery Plus $208 165%
Cigna $221 - $444 175%
Medcost $260 - $390 206%
Carolina Caring $297 - $454 235%
Beech Street $313 - $470 248%
Multiplan $313 - $470 248%
Corporate Benefits Service $320 253%
Self Pay $344 - $430 272%
First Health Network $363 - $544 288%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2525 Court Dr, Gastonia, NC 28052
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals