CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: St Marys Hospital Superior

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$102
about 0.8× the $126 Medicare rate · typically $93–$250
modeled estimate · not a bill or quote
What this hospital charges insurers
$93
About the fair price
about $9 under the fair price · 0.7× Medicare
Medicare pays $126 Fair price $102 This hospital $93 Cash price $338 Hospital's list price $457

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 $93

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Screening mammogram (both breasts) is about $102 (about 0.8× the $126 Medicare rate). St Marys Hospital Superior charges insurers about $93, or about $338 in cash — about the fair price. Located in Superior, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $146 - $414 116%
Blue Cross Blue Shieldmajor $146 - $367 116%
Aetnamajor $388 307%
Cignamajor $356 282%
HealthPartners $146 - $356 116%
Medica $146 - $367 116%
Sanford Health Plan $196 155%
Security Health Plan $146 - $352 116%
UCare $146 - $301 116%
+ 13 smaller / regional plans $92 - $393
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3500 Tower Ave, Superior, WI 54880
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals