CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Jefferson Lansdale Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $132
Cash Discount Price: $109
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Jefferson Lansdale Hospital is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.05x the Medicare baseline. Located in 100 Medical Campus Drive, Lansdale, PA.

Cash / Self-Pay

$109

Average discount available for prompt cash payment at this facility.

Insurance Median

$132

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: $109 (86%)

Insurance Median: $132 (105%)

Cash: $109 (86% of Medicare)

Ins. Median: $132 (105% 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.

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
Ibc	$65 - $725	51%
Jab Health Partners	$82	65%
Keystone First	$92 - $129	73%
Blue Cross Blue Shield	$98	78%
Pa Health_Wellness Chc	$98 - $136	78%
Medicaid / KanCare	$101 - $142	80%
Aetna	$129 - $340	102%
UnitedHealthcare	$202	160%
Cigna	$232 - $279	184%
Upmc Commercial	$279	221%

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 $109.
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 Jefferson Lansdale 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.