CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Ascension St John Medical Center

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$108
about 0.9× the $126 Medicare rate · typically $81–$144
modeled estimate · not a bill or quote
What this hospital charges insurers
$96
Below the fair price — a good deal
about $12 under the fair price · 0.8× Medicare
Medicare pays $126 Fair price $108 This hospital $96 Cash price $141 Hospital's list price $380

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Highest price of the 9 OK hospitals we have prices for — worth calling around.

Cheapest $36 Priciest $96

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

A fair price for a Screening mammogram (both breasts) is about $108 (about 0.9× the $126 Medicare rate). Ascension St John Medical Center charges insurers about $96, or about $141 in cash — below the fair price — a good deal. Located in Tulsa, OK.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $80 - $319 63%
Blue Cross Blue Shieldmajor $84 - $245 67%
Aetnamajor $101 80%
Humanamajor $81 64%
+ 11 smaller / regional plans $80 - $192
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1923 South Utica Avenue, Tulsa, OK 74104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals