CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Bailey Medical Center, LLC

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $498
Cash Discount Price: $262
vs. Medicare Baseline: 3.94x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Bailey Medical Center, LLC is $498. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $262. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 3.94x the Medicare baseline. Located in 10502 North 110Th East Avenue, Owasso, OK.

Cash / Self-Pay

$262

Average discount available for prompt cash payment at this facility.

Insurance Median

$498

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: $262 (208%)

Insurance Median: $498 (394%)

Cash: $262 (208% of Medicare)

Ins. Median: $498 (394% 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 394% of the Medicare baseline (a markup of 294%). 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
Healthcare Highways [2210]	$218 - $240	173%
Hooray Health [8000]	$218	173%
Oncology Patient Assistance Programs [2295]	$218	173%
Oscar Insurance Company [7005]	$218	173%
Osma Health Network [2345]	$218	173%
Healthscope Benefits [2290]	$231	183%
UnitedHealthcare	$231	183%
Resource One Administrators [2815]	$240	190%
Web Tpa [2115]	$240	190%
Oscar Exchange [6080]	$341	270%
The Kempton Group Administrators [2905]	$393	311%
First Health [1375]	$442 - $717	350%
Medica [2910]	$442	350%
Multiplan [1680]	$442 - $717	350%
Cigna	$445	352%
Healthpartners [1500]	$445	352%
National Association Of Letter Carriers [1695]	$445	352%
Pba [1775]	$445	352%
Healthcare Solutions [1485]	$498	394%
Community Care [1290]	$690	547%
Employee Benefit Management Services [2445]	$690	547%
Fmh Benefit Services [1390]	$690	547%
Group Resources [1455]	$690	547%
Phcs [1780]	$690 - $717	547%
Gilsbar [1425]	$717	568%
Healthcost Solutions [2415]	$717	568%
Healthfirst [2395]	$717	568%
Healthnet [1495]	$717	568%
Hometown Health [2155]	$717	568%
Mayo Clinic Health Solutions [2280]	$717	568%
Mutual Of Omaha [1685]	$717	568%
New Era Life Insurance Company [1705]	$717	568%
Pan American Life Insurance Co [1770]	$717	568%
Planned Administrators Inc [2360]	$717	568%
Trustmark [2030]	$717	568%
Universal Fidelity [2085]	$717	568%
Healthsmart [1505]	$743	589%
Pending Ssi [1616]	$874	692%

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 $262.
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 Bailey Medical Center, LLC 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.