CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: St Nicholas Hospital

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$107
about 0.8× the $126 Medicare rate · typically $85–$232
modeled estimate · not a bill or quote
What this hospital charges insurers
$87
Below the fair price — a good deal
about $20 under the fair price · 0.7× Medicare
Medicare pays $126 Fair price $107 This hospital $87 Cash price $238 Hospital's list price $360

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $34 Priciest $87

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a Screening mammogram (both breasts) is about $107 (about 0.8× the $126 Medicare rate). St Nicholas Hospital charges insurers about $87, or about $238 in cash — below the fair price — a good deal. Located in Sheboygan, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $77 - $470 61%
Blue Cross Blue Shieldmajor $20 - $470 16%
Aetnamajor $77 - $470 61%
Cignamajor $114 - $329 90%
Humanamajor $77 - $470 61%
Health Net $98 - $282 78%
Medica $77 - $470 61%
Meridian $20 - $21 16%
Molina $22 - $470 17%
Security Health Plan $86 - $475 68%
+ 15 smaller / regional plans $20 - $470
Government programs also on file: Medicare, Medicaid.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3100 Superior Ave, Sheboygan, WI 53081
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals