CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: UPMC Muncy

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $220
Cash Discount Price: $238
vs. Medicare Baseline: 1.74x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at UPMC Muncy is $220. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $238. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.74x the Medicare baseline. Located in 215 East Water Street, Muncy, PA.

Cash / Self-Pay

$238

Average discount available for prompt cash payment at this facility.

Insurance Median

$220

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: $238 (189%)

Insurance Median: $220 (174%)

Cash: $238 (189% of Medicare)

Ins. Median: $220 (174% 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
Highmark Wholecare (Prev Gateway)	$59 - $117	47%
UnitedHealthcare	$59 - $271	47%
Upmc Health Plan	$59 - $173	47%
Amerihealth Caritas	$61 - $2,208	48%
Cigna	$62 - $271	49%
Pa Health & Wellness	$64 - $2,316	51%
Geisinger	$115 - $265	91%
Blue Cross Blue Shield	$155 - $183	123%
Aetna	$161 - $261	128%
Coventry/First Health	$198 - $267	157%
Wirerope Works	$220	174%
Multiplan	$309 - $376	245%
America'S Choice	$317	251%
Intergroup	$317	251%
Three Rivers Provider Network	$356	282%

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 $238.
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 UPMC Muncy 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.