CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Lake Chelan Community Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $274
Cash Discount Price: $424
vs. Medicare Baseline: 2.17x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Lake Chelan Community Hospital is $274. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $424. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 2.17x the Medicare baseline. Located in 110 S Apple Blossom Dr, Chelan, WA.

Cash / Self-Pay

$424

Average discount available for prompt cash payment at this facility.

Insurance Median

$274

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: $424 (336%)

Insurance Median: $274 (217%)

Cash: $424 (336% of Medicare)

Ins. Median: $274 (217% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 217% of the Medicare baseline (a markup of 117%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Medicare (plans)	$36 - $258	29%
Molina - All Plans	$36 - $433	29%
UnitedHealthcare	$36 - $436	29%
Coordinated Care Comm - All Other Plans	$46 - $460	36%
Premera First - All Plans	$48 - $352	38%
First Choice - All Plans	$51 - $446	40%
Amerigroup Op Only - All Plans	$77 - $274	61%
Coordinated Care Mcaid	$77 - $274	61%
Aetna	$348 - $422	276%
Corvel - All Plans	$367 - $446	291%
Multiplan - All Plans	$377 - $418	299%

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 $424.
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 Lake Chelan Community Hospital 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.