CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Saint Mary's Regional Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $103
Cash Discount Price: $91
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Saint Mary's Regional Medical Center is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $91. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.82x the Medicare baseline. Located in 235 W 6Th St, Reno, NV.

Cash / Self-Pay

$91

Average discount available for prompt cash payment at this facility.

Insurance Median

$103

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: $91 (72%)

Insurance Median: $103 (82%)

Cash: $91 (72% of Medicare)

Ins. Median: $103 (82% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Access To Healthcare Network	$75	59%
Occunet	$87 - $182	69%
UnitedHealthcare	$90 - $128	71%
Aetna	$91 - $269	72%
Blue Cross Blue Shield	$91 - $103	72%
Health Plan Of Nevada	$91 - $103	72%
Medicare (plans)	$91	72%
Molina Healthcare Of Nv	$91 - $105	72%
Saint Mary Health Plan	$91 - $105	72%
Sierra	$91	72%
Silver Summit	$91 - $160	72%
Tricare	$91	72%
Triwest	$91	72%
Alignment	$93	74%
Medicaid / KanCare	$103	82%
Pam	$105	83%
Veterans Evaluation Service Ves	$114	90%
Employer Direct	$128	101%
Home Town Test	$128	101%
Naphcare	$128	101%
Asserta Health	$137	109%
Imperial Insurance Company	$137 - $169	109%
Nevada Health Partners	$169	134%
6 Degrees	$182	144%
Nv Preferred	$194 - $207	154%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $91.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77067.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Saint Mary's Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77067.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.