CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Snoqualmie Valley Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $128
Cash Discount Price: $214
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Snoqualmie Valley Hospital is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $214. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.01x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.

Cash / Self-Pay

$214

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: $214 (170%)

Insurance Median: $128 (101%)

Cash: $214 (170% 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	$54 - $285	43%
Humana	$54 - $111	43%
Washington Coordinated Care	$55 - $248	44%
Community Health Plan Of Wa Mcd Rep	$60 - $229	48%
Medicaid / KanCare	$60 - $229	48%
UnitedHealthcare	$60 - $452	48%
Amerigroup Wellpoint	$63 - $243	50%
Molina Healthcare Of Washington Mcd Rep	$64 - $248	51%
Blue Cross Blue Shield	$77 - $295	61%
Blue Shield Of Wa Regence	$77 - $295	61%
Kaiser Foundation Health Plan Of The Northwest	$80 - $309	63%
First Choice Health Network	$89 - $344	70%
Cigna	$102 - $393	81%
Community Health Plan Of Wa	$110 - $150	87%
Medicare (plans)	$110 - $147	87%
Molina Healthcare Of Washington Mcr Adv	$110 - $147	87%
Blue Shield Of Wa Regence Mcr Adv	$111 - $147	88%
Molina Healthcare Of Washington	$112 - $150	89%

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 $214.
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 Snoqualmie Valley 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.