CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: West Holt Memorial Hospital

Billing Code: 77067 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$196
about 1.6× the $126 Medicare rate · typically $105–$365
modeled estimate · not a bill or quote
What this hospital charges insurers
$155
Below the fair price — a good deal
about $41 under the fair price · 1.2× Medicare
Medicare pays $126 Fair price $196 This hospital $155 Cash price $282 Hospital's list price $352

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

Highest price of the 9 NE hospitals we have prices for — worth calling around.

Cheapest $35 Priciest $155

Black dot = this hospital, among the 9 NE hospitals with a price for this procedure. Full list below.

A fair price for a Screening mammogram (both breasts) is about $196 (about 1.6× the $126 Medicare rate). West Holt Memorial Hospital charges insurers about $155, or about $282 in cash — below the fair price — a good deal. Located in Atkinson, NE.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $127 - $237 101%
Blue Cross Blue Shieldmajor $290 - $385 230%
Aetnamajor $284 - $377 225%
Ambetter (Centene) $154 - $205 122%
Medica $275 - $365 218%
Molina $166 - $221 131%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 406 W Neely St, Atkinson, NE 68713
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals