CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Blount Memorial Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $194
Cash Discount Price: $137
vs. Medicare Baseline: 1.54x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Blount Memorial Hospital is $194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $137. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.54x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$137

Average discount available for prompt cash payment at this facility.

Insurance Median

$194

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: $137 (109%)

Insurance Median: $194 (154%)

Cash: $137 (109% of Medicare)

Ins. Median: $194 (154% 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
UnitedHealthcare	$47 - $225	37%
Medicaid / KanCare	$64 - $112	51%
Bob Jones Univ-Pai [821]	$76	60%
Blue Cross Blue Shield	$84 - $348	67%
Humana	$84	67%
Medicare (plans)	$84 - $87	67%
Cigna	$87 - $99	69%
Prisma Health Seniorcare Pace - Midlands [5400]	$96 - $109	76%
Prisma Health Seniorcare Pace-Upstate [5200]	$96 - $109	76%
Mvp Health Care [3037]	$99	78%
Tricare	$121	96%
Ambetter / Centene	$131	104%
Promise Health Plan Contracted [2401]	$145 - $282	115%
Orangeburg Senior Helping Center Pace [5401]	$166 - $188	131%
Consociate Health Contracted [4835]	$185	147%
Fairos/Occunet Contracted [4837]	$194	154%
Golden Rule Insurance Company [2991]	$225	178%
Oxford Health Plans [2992]	$225	178%
Preferred Administrators Contracted [2839]	$290 - $329	230%
Medcost [2940]	$306 - $390	242%
Atlantic Packaging Contracted [4833]	$310 - $352	246%
Aps Healthcare System [2981]	$331 - $376	262%
Multiplan/Phcs Contracted [2950]	$368 - $418	291%
Aetna	$373 - $423	295%
Meritain Health Contracted [2200]	$373 - $423	295%
Nippon [2300]	$373 - $423	295%
Vsp Vision Care [2986]	$373 - $423	295%
First Health Contracted [2952]	$385 - $437	305%
Furman Int/Allen University Student [2951]	$385 - $437	305%
Quiktrip-First Health [3067]	$385 - $437	305%

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 $137.
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 Blount Memorial Hospital 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.