CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Novant Health Brunswick Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $246
Cash Discount Price: $198
vs. Medicare Baseline: 1.95x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Novant Health Brunswick Medical Center is $246. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $198. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.95x the Medicare baseline. Located in 1 Medical Center Dr Po Box 139, Supply, NC.

Cash / Self-Pay

$198

Average discount available for prompt cash payment at this facility.

Insurance Median

$246

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: $198 (157%)

Insurance Median: $246 (195%)

Cash: $198 (157% of Medicare)

Ins. Median: $246 (195% 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
Carolina Complete	$56	44%
Nc Department Of Public Safety	$56	44%
Amerihealth	$57	45%
Blue Cross Blue Shield	$57 - $284	45%
UnitedHealthcare	$57 - $242	45%
Wellcare	$57	45%
Ambetter / Centene	$118	93%
Cigna	$155 - $219	123%
Caresource North Carolina	$158	125%
Aetna	$198 - $336	157%
Atlantic Corporation Dba Atlantic Packaging	$213	169%
Amps	$217	172%
Plotkin Health	$237	188%
Medcost	$297 - $331	235%
Transformhealth	$316	250%
Humana	$340	269%
Multiplan	$356	282%
Phcs	$356	282%
Employers Choice Network	$383	303%
Three Rivers Provider Network	$383	303%

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 $198.
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 Novant Health Brunswick 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.