CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Cascade Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $128
Cash Discount Price: $137
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Cascade Medical Center is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $137. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.01x the Medicare baseline. Located in 817 Commercial Street, Leavenworth, WA.

Cash / Self-Pay

$137

Average discount available for prompt cash payment at this facility.

Insurance Median

$128

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: $137 (109%)

Insurance Median: $128 (101%)

Cash: $137 (109% of Medicare)

Ins. Median: $128 (101% 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
Aetna	$40 - $403	32%
Asuris Northwest Health	$40 - $403	32%
Blue Cross Blue Shield	$40 - $340	32%
Humana	$40 - $94	32%
Medicare (plans)	$40 - $94	32%
Molina Healthcare Of Washington Mcr Adv	$40 - $95	32%
Wellcare Health Plan Inc Mcr Adv	$43 - $102	34%
Medicaid / KanCare	$80 - $239	63%
Community Health Plan Of Wa Mcd Rep	$83 - $249	66%
Coordinated Care Of Wa Mcd Rep	$83 - $249	66%
Molina Healthcare Of Washington Mcd Rep	$83 - $249	66%
Ambetter / Centene	$94 - $281	74%
Community Health Plan Of Wa	$98 - $291	78%
Cigna	$125 - $375	99%
Tricare	$132	105%
First Choice Health Network	$150 - $182	119%
Pacificsource Health Plans	$150 - $182	119%
Washington Department Of Labor And Industry	$150 - $244	119%

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 $137.
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 Cascade 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.