CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Othello Community Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $230
  • Cash Discount Price: $296
  • vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Othello Community Hospital is $230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $296. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.82x the Medicare baseline. Located in 315 North 14Th Avenue, Othello, WA.
Cash / Self-Pay
$296

Average discount available for prompt cash payment at this facility.

Insurance Median
$230

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: $296 (234%)
Insurance Median: $230 (182%)
Cash: $296 (234% of Medicare)
Ins. Median: $230 (182% 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
Ambetter / Centene $122 - $216 97%
Amerigroup Mcaid $122 - $213 97%
Chp Mcaid $122 - $213 97%
Cocare - All Plans $122 - $213 97%
Gau - All Plans $122 - $213 97%
Kaiser - All Plans $122 - $213 97%
Molina Mcaid $122 - $213 97%
UnitedHealthcare $122 - $502 97%
Chp - All Other Plans $124 - $216 98%
Molina - All Other Plans $124 - $216 98%
Medicare (plans) $144 - $251 114%
Tricare $187 - $326 148%
Triwest - All Plans $187 - $326 148%
Asuris - All Plans $230 - $401 182%
Commercial Other - All Plans $230 - $401 182%
Hma - All Plans $230 - $401 182%
Hmso - All Plans $230 - $401 182%
Tpsc - All Plans $230 - $401 182%
Travelers - All Plans $230 - $401 182%
Veterans Admin - All Plans $230 - $401 182%
Blue Cross Blue Shield $242 - $421 192%
Cigna $256 - $447 203%
First Choice - All Plans $259 - $452 205%
Aetna $270 - $472 214%
Chp Mcr Adv $288 - $502 228%
Health Alliance Mcr Adv - All Plans $288 - $502 228%
Humana $288 - $502 228%
Molina Mcare $288 - $502 228%
Wellcare Mcr Adv - All Plans $288 - $502 228%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 North 14Th Avenue, Othello, WA 99344
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals