CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Rehabilitation Hospital of Wisconsin

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $211
  • Cash Discount Price: $211
  • vs. Medicare Baseline: 1.67x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Rehabilitation Hospital of Wisconsin is $211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $211. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.67x the Medicare baseline. Located in 1625 Coldwater Creek Dr, Waukesha, WI.
Cash / Self-Pay
$211

Average discount available for prompt cash payment at this facility.

Insurance Median
$211

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $211 (167%)
Insurance Median: $211 (167%)
Cash: $211 (167% of Medicare)
Ins. Median: $211 (167% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Alliance Ppo $146 116%
Dean Ppo Hmo/Pos $146 116%
Medica (Under Dean) $146 116%
UnitedHealthcare $148 - $211 117%
Trilogy Ppo $152 - $211 120%
Wps "Insurance" Ppo $154 122%
Phcs Savility $158 125%
Hps Solutions Ppo $160 127%
Aetna $165 - $211 131%
Health Eos Poc $169 134%
Coventry/First Health Ppo $173 137%
Hps (Other) $173 137%
Health Eos Multiplan $179 142%
Phcs / Multiplan $194 154%
All Savers $211 167%
Blue Cross Blue Shield $211 167%
Centivo Broad $211 167%
Centivo Intermediate/Median $211 167%
Centivo Narrow/Value $211 167%
Children'S Communty Health Plan(Cchp) $211 167%
Cigna $211 167%
Community Care, Inc $211 167%
Humana $211 167%
Icare Mcd $211 167%
Managed Health Services (Mhs) $211 167%
Medicaid / KanCare $211 167%
Medicare (plans) $211 167%
Molina (Fka Care Wisconsin) $211 167%
Network Health - Aca $211 167%
Network Health - Commercial $211 167%
Quartz (Self Funded) / Unity Health Plan (Hmo/Pos) $211 167%
Security Health Plan - Advocare $211 167%
Together With Cchp $211 167%
Unity Health Plan And Unity Quartz(Hmo/Pos) $211 167%
Va - Primary Only - Authorization Required $211 167%
Wellcare Mcr $211 167%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1625 Coldwater Creek Dr, Waukesha, WI 53188
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL