CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Frye Regional Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $131
Cash Discount Price: $347
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Frye Regional Medical Center is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $347. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.04x the Medicare baseline. Located in 420 N Center St, Hickory, NC.

Cash / Self-Pay

$347

Average discount available for prompt cash payment at this facility.

Insurance Median

$131

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: $347 (275%)

Insurance Median: $131 (104%)

Cash: $347 (275% of Medicare)

Ins. Median: $131 (104% 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
Healthteam Advantage	$81	64%
Cigna	$83	66%
Humana	$83	66%
UnitedHealthcare	$84 - $176	67%
Aetna	$85 - $120	67%
Healthyblue Nc	$85	67%
Veteran Family Member Program	$85	67%
Blue Cross Blue Shield	$86 - $132	68%
Vaya Health	$86	68%
Amerihealth Caritas North Carolina	$88	70%
Carolina Complete Health Inc.	$88	70%
Partners Health Management	$88	70%
Wellcare Of North Carolina, Inc	$88	70%
Golden Rule Insurance Company	$138	109%
Craftmaster Furniture	$148	117%
Cv Industries	$148	117%
Hancock &Amp; Moore	$148	117%
Hickory Chair	$148	117%
Rhf Investments	$148	117%
Samson Holding	$148	117%
Sherrill Furniture	$148	117%
Vanguard Furniture	$148	117%
Caresource North Carolina	$186	147%
Amerihealth Caritas Next	$202	160%
Ambetter / Centene	$233	185%
Luminare Health	$432	342%
Meritain Health	$512	406%

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 $347.
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 Frye Regional Medical Center 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.