CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: University Health System, Inc

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $118
  • Cash Discount Price: $66
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at University Health System, Inc is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.93x the Medicare baseline. Located in 1924 Alcoa Highway, Knoxville, TN.
Cash / Self-Pay
$66

Average discount available for prompt cash payment at this facility.

Insurance Median
$118

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: $66 (52%)
Insurance Median: $118 (93%)
Cash: $66 (52% of Medicare)
Ins. Median: $118 (93% 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
Fentress County Sheriffs Dept $44 - $168 35%
Cigna $47 - $319 37%
UnitedHealthcare $50 - $294 40%
Blue Cross Blue Shield $59 - $269 47%
Aetna $64 - $294 51%
Multiplan $66 - $252 52%
Nx Health $66 - $252 52%
Phcs $66 - $252 52%
Naphcare $72 - $273 57%
Coventry $77 - $294 61%
Beechstreet $83 - $315 66%
Prime Health $83 - $420 66%
Seven Corners $83 - $315 66%
Wellpoint $87 - $120 69%
Usa $88 - $336 70%
Evolutions $99 - $378 78%
Galaxy $99 - $378 78%
Healthsmart $99 - $378 78%
Humana $114 90%
Devoted Health $118 93%
Wellcare-Windsor Medadv $119 94%
American Health $120 95%
Medicare (plans) $120 - $122 95%
Nhc $120 95%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1924 Alcoa Highway, Knoxville, TN 37920
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals