CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Fort Memorial Hospital

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$80
about 0.6× the $126 Medicare rate · typically $68–$114
modeled estimate · not a bill or quote
What this hospital charges insurers
$81
About the fair price
about $1 over the fair price · 0.6× Medicare
Medicare pays $126 Fair price $80 This hospital $81 Cash price $87 Hospital's list price $273

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 $81

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 $80 (about 0.6× the $126 Medicare rate). Fort Memorial Hospital charges insurers about $81, or about $87 in cash — about the fair price. Located in Fort Atkinson, 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 $20 - $322 16%
Blue Cross Blue Shieldmajor $19 - $300 15%
Aetnamajor $55 - $319 44%
Cignamajor $108 - $404 86%
Humanamajor $34 - $304 27%
Dean Health Plan $19 - $279 15%
Molina $31 - $128 25%
Quartz $19 - $912 15%
+ 8 smaller / regional plans $21 - $405
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 611 Sherman Ave E, Fort Atkinson, WI 53538
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals