CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Gundersen St Josephs Hospital and Clinics

Billing Code: 77067 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$182
about 1.4× the $126 Medicare rate · typically $74–$479
modeled estimate · not a bill or quote
What this hospital charges insurers
$188
About the fair price
about $6 over the fair price · 1.5× Medicare
Medicare pays $126 Fair price $182 This hospital $188 Cash price $230 Hospital's list price $395

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 $188

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 $182 (about 1.4× the $126 Medicare rate). Gundersen St Josephs Hospital and Clinics charges insurers about $188, or about $230 in cash — about the fair price. Located in Hillsboro, 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 $209 - $276 166%
Blue Cross Blue Shieldmajor $124 - $261 98%
Aetnamajor $375 297%
Cignamajor $324 257%
Humanamajor $336 266%
Amerigroup $20 16%
Quartz $215 170%
Security Health Plan $78 62%
UCare $205 - $316 162%
+ 4 smaller / regional plans $124 - $676
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 400 Water Ave, Hillsboro, WI 54634
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals