CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Tri Valley Health System

Billing Code: 77067 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$230
about 1.8× the $126 Medicare rate · typically $104–$358
modeled estimate · not a bill or quote
What this hospital charges insurers
$236
About the fair price
about $6 over the fair price · 1.9× Medicare
Medicare pays $126 Fair price $230 This hospital $236 Cash price $554 Hospital's list price $616

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 $236

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 $230 (about 1.8× the $126 Medicare rate). Tri Valley Health System charges insurers about $236, or about $554 in cash — about the fair price. Located in Cambridge, NE.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $296 - $591 234%
Blue Cross Blue Shieldmajor $236 - $561 187%
Aetnamajor $604 478%
Humanamajor $271 215%
Amerigroup $302 239%
Medica $271 - $554 215%
Molina $296 234%
WellCare $271 215%
+ 3 smaller / regional plans $285 - $296
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1305 West Highway 6/34, Cambridge, NE 69022
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals