Screening mammogram (both breasts)
Facility: Oakleaf Surgical Hospital
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $34
- Cash Discount Price: $215
- vs. Medicare Baseline: 0.27x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $34 - $194 | 27% |
| Dean Health Plan | $34 | 27% |
| Group Health Cooperative Of Eau Claire | $34 | 27% |
| Healthpartners | $34 | 27% |
| Humana | $34 | 27% |
| Medica | $34 | 27% |
| Quartz Health Solutions | $34 | 27% |
| Security Health Plan Of Wi | $34 | 27% |
| Ucare Wi | $34 | 27% |
| UnitedHealthcare | $34 | 27% |
Consumer Guidance & Cost Commentary
Oakleaf Surgical Hospital, located at 1000 Oakleaf Way in Altoona, Wisconsin, has a cash median price of $215 for a Screening mammogram (both breasts). This cash rate is notably lower than the facility's gross charge of $238. For patients with high-deductible plans, paying the $215 cash price may be more cost-effective than the median negotiated rate of $34 or the median paid rate of $10, depending on whether the insurance deductible has been met. The facility offers self-pay or prompt-pay discounts to patients who pay upfront, which can further reduce the final amount owed.
When comparing commercial pricing to government benchmarks, the Medicare amount for this service is $126.25. The facility's cash rate of $215 is approximately 1.7 times the Medicare amount, while the negotiated rates range from $34 to $194 across ten different payers. Several major insurers, including Blue Cross Blue Shield, Dean Health Plan, and UnitedHealthcare, have negotiated rates starting at $34. Patients are encouraged to verify their specific plan's allowed amount before scheduling and to request an itemized bill to ensure no errors, unbundled codes, or services not rendered are included in the final charge.