CMS Price Transparency Data
Screening mammogram (both breasts)
Facility: Rehabilitation Hospital of Wisconsin
Billing Code: 77067 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$152
about 1.2× the $126 Medicare rate · typically $88–$312
modeled estimate · not a bill or quote
Medicare pays $126 Fair price $152 Cash price $211 Hospital's list price $211
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 | $148 - $211 | 117% |
| Blue Cross Blue Shieldmajor | $211 | 167% |
| Aetnamajor | $165 - $211 | 131% |
| Cignamajor | $211 | 167% |
| Humanamajor | $211 | 167% |
| Medica | $146 | 116% |
| Molina | $211 | 167% |
| Quartz | $211 | 167% |
| Security Health Plan | $211 | 167% |
| WellCare | $211 | 167% |
| + 14 smaller / regional plans | $169 - $211 |
Government programs also on file: Medicare, Medicaid.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Rehabilitation Hospital of Wisconsin
Compare: Screening mammogram (both breasts) at other WI hospitals
- Oakleaf Surgical Hospital · Altoona $34
- Memorial Hospital of Lafayette County · Darlington $39
- Vernon Memorial Hospital · Viroqua $53
- St Vincent Hospital · Green Bay $78
- St Marys Hospital Medical Ctr · Green Bay $78
- HSHS St Clare Memorial Hospital · Oconto Falls $79
- Fort Memorial Hospital · Fort Atkinson $81
- Black River Memorial Hospital · Black River Falls $81
Insurance negotiated median for the same procedure, sorted lowest first.