CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Angel Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $89
Cash Discount Price: $474
vs. Medicare Baseline: 0.70x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Angel Medical Center is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $474. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.70x the Medicare baseline. Located in 124 Center Court Po Box 1209, Franklin, NC.

Cash / Self-Pay

$474

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $474 (375%)

Insurance Median: $89 (70%)

Cash: $474 (375% of Medicare)

Ins. Median: $89 (70% 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
Blue Cross Blue Shield	$81 - $85	64%
Alignment Health	$82 - $84	65%
Apex Health	$82 - $95	65%
Devoted Health	$82 - $84	65%
United	$82 - $213	65%
Nhc Advantage	$83 - $85	66%
Aetna	$84 - $305	67%
Cigna	$85 - $271	67%
Humana	$85	67%
Wellcare	$85 - $87	67%
Amerihealth Caritas	$86 - $185	68%
Healthteam Advantage	$86 - $90	68%
Provider Partners Health Plan	$86 - $87	68%
Troy Healthcare	$86 - $89	68%
Amerihealth	$88	70%
Longevity Health Plan	$88 - $98	70%
Partners Health Management	$89	70%
Vaya Health	$89	70%
One Call Medical	$102	81%
Amerigroup	$119	94%
Caresource	$208	165%
Medcost	$208 - $250	165%
Magellan	$284	225%
Magellan Behavioral Health	$284	225%
Multiplan	$379	300%
Avalon Administrative Services	$403	319%
Prime Health	$417 - $426	330%

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 $474.
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 Angel 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.