CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Atrium Health Lincoln

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $177
  • Cash Discount Price: $320
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Atrium Health Lincoln is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $320. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.40x the Medicare baseline. Located in 433 McAlister Rd, Lincolnton, NC.
Cash / Self-Pay
$320

Average discount available for prompt cash payment at this facility.

Insurance Median
$177

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: $320 (253%)
Insurance Median: $177 (140%)
Cash: $320 (253% of Medicare)
Ins. Median: $177 (140% 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
Trillium $28 - $101 22%
Alliance $29 - $103 23%
Amerihealth Caritas $29 - $102 23%
Carolina Complete Health $29 - $102 23%
Healthy Blue $29 - $102 23%
Partners $29 - $102 23%
UnitedHealthcare $29 - $365 23%
Vaya $29 - $102 23%
Wellcare $29 - $102 23%
Cigna $34 - $432 27%
Aetna $35 - $544 28%
Humana $35 - $119 28%
Orthocarolina $42 - $146 33%
Blue Cross Blue Shield $183 - $325 145%
Ambetter / Centene $209 - $238 166%
Employers Health Network $283 224%
Medcost $301 - $418 238%
Physician Reach Out $320 253%
Gmmi $416 330%
Quik Trip $416 330%
Choicecare $525 416%
First Health $544 431%
Beechstreet $576 456%
Private Health Care Systems $576 456%
Multiplan $608 482%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 433 McAlister Rd, Lincolnton, NC 28092
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals