CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $152
Cash Discount Price: $777
vs. Medicare Baseline: 1.20x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Univ. of Vermont - Fletcher Allen Health Care is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $777. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.20x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$777

Average discount available for prompt cash payment at this facility.

Insurance Median

$152

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: $777 (615%)

Insurance Median: $152 (120%)

Cash: $777 (615% of Medicare)

Ins. Median: $152 (120% 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	$24 - $765	19%
Mvp	$29 - $731	23%
Aetna	$34 - $357	27%
Capital District Physicians' Health Plan	$34 - $582	27%
Humana	$34 - $218	27%
Martins Point	$34 - $123	27%
St. Regis	$34 - $123	27%
Veterans Affairs Community Care Network	$34 - $123	27%
Blue Cross Blue Shield	$35 - $724	28%
Fidelis Care	$39 - $142	31%
Wellpath	$48 - $427	38%
Ebpa	$126 - $668	100%
Harvard Pilgrim	$130 - $622	103%
Magnacare	$130 - $622	103%
Coventry	$139 - $660	110%
Nppn	$147 - $699	116%
Cigna	$152 - $699	120%

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 $777.
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 Univ. of Vermont - Fletcher Allen Health Care 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.