CMS Price Transparency Data
Screening mammogram (both breasts)
Facility: Cannon Memorial Hospital
Billing Code: 77067 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77067
- Insurance Median: $89
- Cash Discount Price: $87
- vs. Medicare Baseline: 0.70x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Cannon Memorial Hospital is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $87. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.70x the Medicare baseline. Located in 123 W G Acker Drive, Pickens, SC.
Cash / Self-Pay
$87
Average discount available for prompt cash payment at this facility.
Insurance Median
$89
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: $87 (69%)
Insurance Median: $89 (70%)
Cash: $87 (69% of Medicare)
Ins. Median: $89 (70% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Preferred Administrators [19] | $14 - $210 | 11% |
| Phcs [940] | $21 - $308 | 17% |
| Employee Benefit Management Services [869] | $25 - $168 | 20% |
| Blue Choice Health Plan [922] | $26 - $178 | 21% |
| Blue Cross Blue Shield | $26 - $294 | 21% |
| Medicaid / KanCare | $27 - $310 | 21% |
| Planned Administrators [886] | $27 - $158 | 21% |
| Thomas Cooper & Company [315] | $27 - $158 | 21% |
| Humana | $28 - $377 | 22% |
| Select Health Of Sc [637] | $31 - $114 | 25% |
| Aetna | $33 - $184 | 26% |
| Medicare (plans) | $33 - $310 | 26% |
| UnitedHealthcare | $33 - $310 | 26% |
| Vaccn - Va Community Care Network [16] | $33 - $115 | 26% |
| Veterans Administration [633] | $33 - $115 | 26% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $34 - $119 | 27% |
| Absolute Total Care Mcr Plans [41] | $34 - $119 | 27% |
| Cigna | $34 - $310 | 27% |
| Devoted Health Alt Payer [9401] | $34 - $117 | 27% |
| Devoted Health [94] | $34 - $117 | 27% |
| Molina Dual Options Alt Payer [1501] | $34 - $118 | 27% |
| Molina Dual Options [15] | $34 - $118 | 27% |
| Absolute Total Care [58] | $35 - $120 | 28% |
| Champva [604] | $35 - $119 | 28% |
| First Choice Vip Careplus Alt Payer [3301] | $35 - $121 | 28% |
| First Choice Vip [33] | $35 - $121 | 28% |
| Nhc Advantage Alt Payer [6101] | $35 - $121 | 28% |
| Nhc Advantage [61] | $35 - $121 | 28% |
| Tricare | $35 - $119 | 28% |
| Bright Health Alt Payer [1001] | $39 - $133 | 31% |
| Geha [302] | $45 - $165 | 36% |
| Golden Rule Ins Co [584] | $45 - $165 | 36% |
| Ambetter / Centene | $48 - $164 | 38% |
| First Choice Next [96] | $48 - $167 | 38% |
| Molina Marketplace [97] | $48 - $167 | 38% |
| Bright Health [11] | $49 - $166 | 39% |
| Mail Handlers Benefit Plan [327] | $51 - $184 | 40% |
| Rural Carrier Benefit Plan [406] | $51 - $184 | 40% |
| Medcost [206] | $54 - $303 | 43% |
| Nalc Health Benefit Plan [291] | $54 - $211 | 43% |
| Workers Compensation [622] | $54 - $184 | 43% |
| Coventry Health [245] | $56 - $223 | 44% |
| Edison Health Solutions [95] | $58 - $201 | 46% |
| Healthscope [98] | $58 - $201 | 46% |
| Other Hospital Payers [1991] | $68 - $310 | 54% |
| American Continental Ins [778] | $90 - $310 | 71% |
| American Republic Life Ins [722] | $90 - $310 | 71% |
| Business Office [6000] | $90 - $310 | 71% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $90 - $310 | 71% |
| First Health [946] | $90 - $310 | 71% |
| Guarantee Trust Life Insurance [236] | $90 - $310 | 71% |
| Home Health Infusion Payer [6001] | $90 - $310 | 71% |
| Manhattan Life Ins Co [932] | $90 - $310 | 71% |
| Miscellaneous Commercial [1] | $90 - $310 | 71% |
| New Era Life Ins Co [437] | $90 - $310 | 71% |
| Non-Contracted [22] | $90 - $310 | 71% |
| Physicians Mutual [773] | $90 - $310 | 71% |
| Reference Based Pricing/Limited Plan [21] | $90 - $310 | 71% |
| State Farm Ins Co [373] | $90 - $310 | 71% |
| Sterling Investors Life [244] | $90 - $310 | 71% |
| Supermed/Med Mutual Of Ohio [539] | $90 - $310 | 71% |
| United American Ins Co [277] | $90 - $310 | 71% |