CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Caribbean Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $38
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.30x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Caribbean Medical Center is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.30x the Medicare baseline. Located in 151 Ave Osvaldo Molina, Fajardo, PR.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

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%)
Insurance Median: $38 (30%)
Ins. Median: $38 (30% 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
Triples S Reforma $30 - $75 24%
Auxilio Mutuo $32 25%
Auxilio Mutuo Plus $32 - $65 25%
Triple S Privado $32 25%
Imc Privado $34 27%
Humana $35 - $91 28%
Mcs Classicare $35 - $44 28%
Medicare (plans) $35 - $97 28%
Mmm $35 - $97 28%
Tricare $35 - $96 28%
Veteran Administration $35 28%
Champva $37 - $96 29%
First Medical Ases $37 - $94 29%
Health First $37 29%
Mmm Multi Health Ases $37 - $94 29%
UnitedHealthcare $37 29%
Well Care $37 29%
Asociacion De Maestros Pr $38 - $75 30%
Menonita Privado $38 - $75 30%
Tsa $39 - $102 31%
Mapfre $50 40%
Mcs Privado $59 47%
Menonita Ases $64 - $134 51%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Ave Osvaldo Molina, Fajardo, PR 00738
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals