CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Trios Health

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $118
  • Cash Discount Price: $277
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Trios Health is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $277. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.93x the Medicare baseline. Located in 3780 Plaza Way, Kennewick, WA.
Cash / Self-Pay
$277

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: $277 (219%)
Insurance Median: $118 (93%)
Cash: $277 (219% 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
Community Health Plan Of Washington $34 27%
Molina Healthcare Of Washington $34 - $98 27%
Coordinated Care Of Washington Inc $35 28%
Wellpoint Washington, Inc. $35 28%
Kfhp Of Wa $76 60%
Kfhp Of Wa Options, Inc $76 60%
UnitedHealthcare $93 - $230 74%
Veteran Family Member Program $96 76%
Humana $98 78%
Summit Health Plan $103 82%
Blue Cross Blue Shield $118 93%
Lifewise Health Plan Of Wa $118 93%
Asuris Northwest Health $128 101%
Government Employees Health Association $179 142%
Oxford Health Insurance Inc $220 174%
Aetna $423 - $653 335%
Meritain Health $423 335%
Cigna $461 365%
Ods Health Plan Inc $588 466%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3780 Plaza Way, Kennewick, WA 99338
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals