CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Sunrise Hospital and Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $106
  • Cash Discount Price: $478
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Sunrise Hospital and Medical Center is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $478. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.84x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.
Cash / Self-Pay
$478

Average discount available for prompt cash payment at this facility.

Insurance Median
$106

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: $478 (379%)
Insurance Median: $106 (84%)
Cash: $478 (379% of Medicare)
Ins. Median: $106 (84% 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
Aetna $14 - $196 11%
United $25 - $324 20%
Humana $26 - $131 21%
Blue Cross Blue Shield $34 - $166 27%
Healthcare Partners Of Nv $34 - $166 27%
Alignment Health Plan $35 - $124 28%
Caremore $36 - $130 29%
Multiplan $37 - $1,133 29%
Community Care Health $38 - $141 30%
Molina Healthcare $38 - $147 30%
Sierra Hpn $38 - $141 30%
Amerigroup $39 - $141 31%
Health Plan Nevada $39 - $149 31%
Hometown Health Providers $40 - $223 32%
Ambetter / Centene $41 - $326 32%
Molina $41 - $156 32%
Silver Summit $41 - $156 32%
Cigna $44 - $267 35%
Sierra $45 - $217 36%
Culinary Health Fund $52 - $186 41%
Select Health $70 - $358 55%
Health Net $90 - $92 71%
Hometown Health Mcr $91 - $92 72%
Triwest Healthcare Alliance $91 - $92 72%
Imperial Nv $100 - $101 79%
Universal Healthcare $109 - $111 86%
Legacy Provider Network $436 345%
Corvel $461 - $487 365%
Prominence Healthfirst $466 369%
Comp-Med Workers Comp $470 372%
Olympus Medsave Usa $485 - $1,164 384%
Cmn Global $652 516%
Nv Health & Welfare Trust $931 737%
First Health $1,024 - $1,242 811%
Medcare International $1,164 922%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3186 S Maryland Pkwy, Las Vegas, NV 89109
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals