CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: St Luke's Hospital - Carbon Campus

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $221
Cash Discount Price: $687
vs. Medicare Baseline: 1.75x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at St Luke's Hospital - Carbon Campus is $221. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $687. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.75x the Medicare baseline. Located in 500 St Luke's Drive, Lehighton, PA.

Cash / Self-Pay

$687

Average discount available for prompt cash payment at this facility.

Insurance Median

$221

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: $687 (544%)

Insurance Median: $221 (175%)

Cash: $687 (544% of Medicare)

Ins. Median: $221 (175% 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
Geisinger	$124 - $233	98%
Aetna	$126 - $289	100%
Amerihealth Caritas	$126	100%
Highmark Wholecare	$126	100%
Upmc Health Plan	$126 - $227	100%
Jefferson Health Plan	$151	120%
Blue Cross Blue Shield	$204 - $702	162%
Oscar	$215	170%
Cigna	$227	180%
UnitedHealthcare	$239	189%

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 $687.
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 St Luke's Hospital - Carbon Campus 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.