CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Mid-Columbia Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $125
  • Cash Discount Price: $114
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Mid-Columbia Medical Center is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.99x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.
Cash / Self-Pay
$114

Average discount available for prompt cash payment at this facility.

Insurance Median
$125

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: $114 (90%)
Insurance Median: $125 (99%)
Cash: $114 (90% of Medicare)
Ins. Median: $125 (99% 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.

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 $35 - $1,156 28%
Community Hp Mcr Adv - All Plans $35 - $125 28%
Healthnet Mcr Adv $35 - $128 28%
Molina Mcr Adv $35 - $125 28%
Tricare $35 - $125 28%
Va Ccn Triwest - All Plans $35 - $125 28%
Humana $36 - $132 29%
Moda Mcr Adv $36 - $125 29%
Devoted Mcr Adv - All Plans $37 - $392 29%
Employee Health Plan - All Plans $38 - $226 30%
Molina - All Other Plans $38 - $138 30%
Aetna $41 - $335 32%
Healthnet - All Other Plans $52 41%
Cigna $58 - $341 46%
Molina Mcaid $59 - $189 47%
Multiplan/Phcs - All Plans $59 - $344 47%
Coventry - All Plans $68 - $326 54%
First Choice - All Plans $69 - $344 55%
Providence Ppo - All Plans $72 - $344 57%
Moda Health Plan - All Other Plans $75 - $239 59%
Amerigroup Mcaid - All Plans $114 - $189 90%
Coordinated Care Mcaid - All Plans $114 - $189 90%
Norocor - All Plans $181 143%
UnitedHealthcare $189 - $344 150%
Healthscape - All Plans $290 230%
First Health - All Plans $323 256%
Pacific Source - All Plans $334 265%
Trpn - Three Rivers - All Plans $344 272%
Ahp - Americas Hlth Plan - All Plans $352 279%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 E 19Th Street, The Dalles, OR 97058
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals