CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Chester County Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $161
  • Cash Discount Price: $355
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Chester County Hospital is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $355. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.28x the Medicare baseline. Located in 701 East Marshall Street, West Chester, PA.
Cash / Self-Pay
$355

Average discount available for prompt cash payment at this facility.

Insurance Median
$161

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: $355 (281%)
Insurance Median: $161 (128%)
Cash: $355 (281% of Medicare)
Ins. Median: $161 (128% 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
Gateway $75 - $118 59%
Medicaid / KanCare $75 - $355 59%
Pgm - Regie De L'Assurance Maladie Quebec $82 65%
Health Partners $89 - $355 70%
Tricare $94 74%
Us Family Health Plan $94 74%
Hospice Vna $95 75%
Medicare (plans) $95 - $97 75%
Primecare Medical $95 75%
Va Medical Center $95 75%
Keystone First $96 76%
UnitedHealthcare $96 - $268 76%
Cigna $98 - $355 78%
Humana $98 78%
Todays Option $99 78%
Devoted Health $100 79%
Pa Health And Wellness $100 - $157 79%
Aetna $101 - $355 80%
Clover Health Plan $101 80%
Mva Insurance $104 82%
Keystone First Vip Choice $105 83%
Preferred Health Care Eliance $110 87%
Pgm - Kuwait Defense $124 - $160 98%
Elap $135 107%
Qualcare $135 107%
Pgm - Chop $142 112%
Claims Watcher $152 - $171 120%
Oscar Health Plan $161 128%
Centivo $171 135%
Elap Services $177 140%
Ibc $183 - $304 145%
Keystone Hmo Proactive $183 145%
Highmark $195 154%
Pgm - Royal Embassy Of Saudi Arabia $213 169%
Pgm - Embassy Of Qatar $231 183%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $231 183%
Pgm - Embassy Of The United Emirates/Ipc $248 196%
Penn Global Medicine $252 200%
Healthamerica/Coventry $266 211%
Pgm - Kuwait Health Division $284 225%
Pgm - Kuwait Oil $284 225%
Preferred Health Care $284 225%
Geisinger Health Plan $301 238%
Intergroup $302 239%
Olympus $311 246%
International Pfs $355 281%
La Comunidad Hispana $355 281%
Medrisk $355 281%
Not Adjusted $355 281%
Workers Compensation $355 281%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 East Marshall Street, West Chester, PA 19380
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals