CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Tristar Southern Hills Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $137
Cash Discount Price: $950
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Tristar Southern Hills Medical Center is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $950. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.09x the Medicare baseline. Located in 391 Wallace Rd, Nashville, TN.

Cash / Self-Pay

$950

Average discount available for prompt cash payment at this facility.

Insurance Median

$137

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: $950 (752%)

Insurance Median: $137 (109%)

Cash: $950 (752% of Medicare)

Ins. Median: $137 (109% 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
Wellpoint	$60	48%
Amerigroup	$83	66%
Devoted Health Plan	$83	66%
Healthspring	$83	66%
Humana	$83 - $482	66%
Odyssey Healthcare	$83	66%
Sarah Cannon Research	$83	66%
United	$83 - $427	66%
Aetna	$84 - $475	67%
Blue Cross Blue Shield	$85 - $195	67%
Wellcare	$85	67%
Zing	$85	67%
American Health Advantage	$87	69%
Evergreen Hmo	$87	69%
Signature Advantage	$88	70%
Atrio Golden Times	$91	72%
Bright Health	$95	75%
Prime Health	$119 - $836	94%
Corvel Corporation	$122	97%
Novanet	$122	97%
Kentucky Labor Cabinet	$175	139%
Apex Health	$180	143%
Nhc Advantage, Inc.	$180	143%
Pruitt Health (Allyalign)	$180	143%
Cigna	$295 - $335	234%
Centurion	$391	310%
Bgfh Singlesource	$475 - $807	376%
Multiplan	$551	436%
Employers Health Network	$665	527%
Odom'S Tn Pride Sausage	$712	564%
Beech Street	$836	662%

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 $950.
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 Tristar Southern Hills Medical Center 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.