CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Hillcrest Hospital Cushing

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $344
Cash Discount Price: $149
vs. Medicare Baseline: 2.72x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Hillcrest Hospital Cushing is $344. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $149. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 2.72x the Medicare baseline. Located in 1027 East Cherry Street, Cushing, OK.

Cash / Self-Pay

$149

Average discount available for prompt cash payment at this facility.

Insurance Median

$344

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: $149 (118%)

Insurance Median: $344 (272%)

Cash: $149 (118% of Medicare)

Ins. Median: $344 (272% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 272% of the Medicare baseline (a markup of 172%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Black Lung [6055]	$124	98%
Healthcare Highways [2210]	$124 - $148	98%
Hooray Health [8000]	$124	98%
Lucent Health [6000]	$124	98%
Oncology Patient Assistance Programs [2295]	$124	98%
Oscar Insurance Company [7005]	$124	98%
Healthscope Benefits [2290]	$135	107%
UnitedHealthcare	$135 - $246	107%
Web Tpa [2115]	$148	117%
Oscar Exchange [6080]	$193	153%
Cigna	$243	192%
Healthpartners [1500]	$243	192%
National Association Of Letter Carriers [1695]	$243	192%
Pba [1775]	$243	192%
Global Health [1430]	$308	244%
First Health [1375]	$344 - $436	272%
Multiplan [1680]	$344 - $436	272%
Healthcare Solutions [1485]	$352	279%
Community Care [1290]	$412	326%
Fmh Benefit Services [1390]	$412	326%
Group Resources [1455]	$412	326%
Phcs [1780]	$412 - $436	326%
Healthsmart [1505]	$422	334%
Administrative Concepts [1005]	$436	345%
Allied Benefit Systems Inc [1030]	$436	345%
Allied National Global Care [1035]	$436	345%
Gilsbar [1425]	$436	345%
Healthnet [1495]	$436	345%
Mutual Of Omaha [1685]	$436	345%
New Era Life Insurance Company [1705]	$436	345%
Pan American Life Insurance Co [1770]	$436	345%
Trustmark [2030]	$436	345%
Universal Fidelity [2085]	$436	345%
Pending Ssi [1616]	$496	393%

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 $149.
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 Hillcrest Hospital Cushing 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.