CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Howard County Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $228
  • Cash Discount Price: $401
  • vs. Medicare Baseline: 1.81x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Howard County Medical Center is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $401. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.81x the Medicare baseline. Located in P O Box 406, 1113 Sherman St, St Paul, NE.
Cash / Self-Pay
$401

Average discount available for prompt cash payment at this facility.

Insurance Median
$228

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: $401 (318%)
Insurance Median: $228 (181%)
Cash: $401 (318% of Medicare)
Ins. Median: $228 (181% 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
Medica Standard Premier $33 - $116 26%
Aetna $35 - $381 28%
Medica Elevate $65 - $228 51%
Midland'S Choice $69 - $240 55%
Humana $98 78%
Blue Cross Blue Shield $115 - $502 91%
Great Plains $115 - $229 91%
Medica Chi $115 - $229 91%
Tricare $115 - $301 91%
UnitedHealthcare $115 - $486 91%
Nebraska Total Care - Wellcare $119 94%
Molina Healthcare $121 - $200 96%
Nebraska Total Care $200 158%
Oscar Health $202 160%
Ambetter / Centene $230 182%
Beshp $230 182%
Medica Chi Aco $365 289%
Medica Choice National $365 289%
Medica Ifb Aco $385 305%
Medica Ifb Open Access $385 305%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 406, 1113 Sherman St, St Paul, NE 68873
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals