CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Holy Cross Hospital-Jordan Valley

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$104
about 0.8× the $126 Medicare rate · typically $76–$145
modeled estimate · not a bill or quote
What this hospital charges insurers
$102
About the fair price
about $2 under the fair price · 0.8× Medicare
Medicare pays $126 Fair price $104 This hospital $102 Cash price $257 Hospital's list price $643

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

Highest price of the 9 UT hospitals we have prices for — worth calling around.

Cheapest $86 Priciest $102

Black dot = this hospital, among the 9 UT hospitals with a price for this procedure. Full list below.

A fair price for a Screening mammogram (both breasts) is about $104 (about 0.8× the $126 Medicare rate). Holy Cross Hospital-Jordan Valley charges insurers about $102, or about $257 in cash — about the fair price. Located in West Jordan, UT.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $161 - $643 128%
Blue Cross Blue Shieldmajor $82 - $386 65%
Aetnamajor $71 - $543 56%
Cignamajor $92 - $514 73%
Humanamajor $82 65%
Molina $71 - $276 56%
SelectHealth $425 337%
+ 12 smaller / regional plans $71 - $643
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3580 West 9000 South, West Jordan, UT 84088
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals