CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Johnson County Hospital

Billing Code: 77067 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$259
about 2.1× the $126 Medicare rate · typically $108–$426
modeled estimate · not a bill or quote
Medicare pays $126 Fair price $259 Cash price $398 Hospital's list price $398

How we calculate the fair BaseRate →

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 $386 306%
Blue Cross Blue Shieldmajor $378 299%
Aetnamajor $267 - $398 211%
Ambetter (Centene) $358 284%
Molina $267 211%
WellCare $267 211%
+ 1 smaller / regional plan $318
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 202 High St, Tecumseh, NE 68450
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals