CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Southern Coos Hospital & Health Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $178
  • Cash Discount Price: $198
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Southern Coos Hospital & Health Center is $178. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $198. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.41x the Medicare baseline. Located in 900 11Th Street Se, Bandon, OR.
Cash / Self-Pay
$198

Average discount available for prompt cash payment at this facility.

Insurance Median
$178

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: $198 (157%)
Insurance Median: $178 (141%)
Cash: $198 (157% of Medicare)
Ins. Median: $178 (141% 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
Tricare $31 - $191 25%
Aetna $35 - $296 28%
Atrio Mcr Adv - Allplans $35 - $217 28%
Confederated Tribes - All Plans $35 - $217 28%
Moda Mcr Adv $35 - $217 28%
Pacific Source Mcr Adv $35 - $217 28%
Cigna $64 - $260 51%
Moda Health Plan - All Other Plans $64 - $293 51%
Blue Cross Blue Shield $65 - $306 51%
Providence Preferred - All Plans $72 - $313 57%
Advanced Health - All Plans $125 - $207 99%
Healthnet - All Plans $164 - $273 130%
Prov Netwrk Of America - All Plans $178 - $296 141%
Three Rivers - All Plans $178 - $296 141%
UnitedHealthcare $178 - $296 141%
First Choice - All Plans $182 - $303 144%
Multiplan - All Plans $184 - $306 146%
First Health - All Plans $188 - $313 149%
Pacific Source - All Other Plans $188 - $313 149%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 11Th Street Se, Bandon, OR 97411
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals