CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Strong Memorial Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $157
Cash Discount Price: $587
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Strong Memorial Hospital is $157. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $587. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.24x the Medicare baseline. Located in 601 Elmwood Ave, Rochester, NY.

Cash / Self-Pay

$587

Average discount available for prompt cash payment at this facility.

Insurance Median

$157

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: $587 (465%)

Insurance Median: $157 (124%)

Cash: $587 (465% of Medicare)

Ins. Median: $157 (124% 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
Blue Cross Blue Shield	$77 - $242	61%
Martins Point [1205]	$85 - $119	67%
Medicare (plans)	$85 - $139	67%
Medicaid / KanCare	$86 - $256	68%
UnitedHealthcare	$93 - $327	74%
Excellus [2201]	$98	78%
Molina Healthcare [1723], Molina Healthcare [5189]	$98	78%
Molina Healthcare [5189]	$98	78%
Aetna	$102 - $552	81%
Mvp [2900]	$103 - $585	82%
Humana	$109 - $138	86%
Elderplan [1316]	$119	94%
Excellus Bc/Bs [2201]	$119 - $222	94%
Icircle [1728]	$119	94%
Nascentia [1729]	$119	94%
Highmark Bc/Bs Of Western Ny [5143]	$151 - $159	120%
Excellus Bc/Bs [2201], Bc/Bs Out Of Area [2401]	$171 - $412	135%
Independent Health [5156]	$202 - $244	160%
Fidelis [5155]	$216 - $269	171%
Cigna	$285 - $585	226%
Capital District Physicians Health Plan (Cdphp) [5149]	$315 - $422	250%

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 $587.
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 Strong Memorial 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.