CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Choctaw Memorial Hospital

Billing Code: 77067 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$121
about 1.0× the $126 Medicare rate · typically $71–$271
modeled estimate · not a bill or quote
Medicare pays $126 Fair price $121 Cash price $45 Hospital's list price $90

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $72 57%
+ 1 smaller / regional plan $173

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1405 East Kirk Road, Hugo, OK 74743
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals