CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: OHSU Hospital and Clinics

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $121
  • Cash Discount Price: $258
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at OHSU Hospital and Clinics is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $258. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.96x the Medicare baseline. Located in 3181 Sw Sam Jackson Park Road, Portland, OR.
Cash / Self-Pay
$258

Average discount available for prompt cash payment at this facility.

Insurance Median
$121

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: $258 (204%)
Insurance Median: $121 (96%)
Cash: $258 (204% of Medicare)
Ins. Median: $121 (96% 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
Community Health Plan Of Washington $76 - $142 60%
Care Oregon $81 - $119 64%
Intercommunity Health Network $81 64%
Kaiser Foundation Hospitals $81 - $235 64%
Medicare (plans) $81 - $162 64%
Pacific Source $81 - $309 64%
UnitedHealthcare $83 - $166 66%
Humana $101 - $107 80%
Trillium $101 80%
Moda $106 - $352 84%
Aetna $109 - $397 86%
Health Net Health Plan Of Oregon, Inc. $116 - $307 92%
Providence Health Plan $121 - $397 96%
Cigna $156 - $312 124%
Blue Cross Blue Shield $160 - $321 127%
Samaritan Health Plan $218 - $253 173%
Tuality Health $258 204%
Coventry First Health $298 236%
First Choice $301 238%
Molina Exchange $397 314%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3181 Sw Sam Jackson Park Road, Portland, OR 97239
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals