CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Incline Village Community Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $217
Cash Discount Price: $407
vs. Medicare Baseline: 1.72x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Incline Village Community Hospital is $217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $407. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.72x the Medicare baseline. Located in 880 Alder Street, Incline Village, NV.

Cash / Self-Pay

$407

Average discount available for prompt cash payment at this facility.

Insurance Median

$217

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: $407 (322%)

Insurance Median: $217 (172%)

Cash: $407 (322% of Medicare)

Ins. Median: $217 (172% 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
Medicare (plans)	$35 - $229	28%
UnitedHealthcare	$39 - $529	31%
Healthnet - All Plans	$47 - $559	37%
Blue Cross Blue Shield	$127 - $529	101%
Ca Hlth And Wellness - All Plans	$152 - $600	120%
Aetna	$199 - $517	158%
Prominence Healthfirst - All Plans	$199 - $517	158%
Admar Multiplan - All Plans	$203 - $529	161%
First Health - All Plans	$203 - $529	161%
Great West/One Health - All Plans	$203 - $529	161%
Hometown Hp - All Plans	$203 - $529	161%
Humana	$203 - $529	161%
Interplan - All Plans	$203 - $529	161%
Multiplan - All Plans	$203 - $529	161%
Phcs - All Plans	$203 - $529	161%
Cigna	$208 - $541	165%
Beech Street/Capp Care - All Plans	$215 - $559	170%
Uhn - All Plans	$215 - $559	170%
Sierra Health - All Plans	$219 - $570	173%

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 $407.
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 Incline Village Community Hospital 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.