CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Curry General Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $476
Cash Discount Price: $501
vs. Medicare Baseline: 3.77x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Curry General Hospital is $476. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $501. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 3.77x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$501

Average discount available for prompt cash payment at this facility.

Insurance Median

$476

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: $501 (397%)

Insurance Median: $476 (377%)

Cash: $501 (397% of Medicare)

Ins. Median: $476 (377% 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 377% of the Medicare baseline (a markup of 277%). 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
Blue Cross Blue Shield	$101 - $501	80%
Partnership Health Plan Of Calif Mdcd Hmo [2008]	$128	101%
Tricare	$156	124%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$217	172%
Medicare (plans)	$217 - $326	172%
Medicaid / KanCare	$316 - $326	250%
Department Of Corrections [1051]	$326	258%
First Choice Health Admin [1294]	$377	299%
First Choice [528]	$377	299%
Coordinated Care Commercial [1649]	$426	337%
Pacificsource [1148]	$426	337%
Moda [512]	$430 - $451	341%
Multiplan [1131]	$456	361%
Asuris [1258]	$476	377%
Operating Engineers [1144]	$476	377%
Regence [1351]	$476 - $501	377%
Cigna	$491 - $501	389%
Coventry First Health Managed Care [1774]	$491	389%
Coventry Health [1046]	$491	389%
Providence Health Plan Plm Alt [1692]	$491	389%
Providence Health Plan [567]	$491	389%
Aetna	$501	397%
Employee Bene Admin Mgmt [525]	$501	397%
Geha [531]	$501	397%
Mailhandlers Benefit Pln [547]	$501	397%
Meritain [550]	$501	397%
Nw Sheet Metal Workers [597]	$501	397%
Trustmark [524]	$501	397%
UnitedHealthcare	$501	397%
Zenith Administrators [586]	$501	397%
Allcare Alt [2598]	$1,500	1188%
Allcare [1695]	$1,500	1188%

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 $501.
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 Curry General Hospital 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.