Screening mammogram (both breasts)
Facility: Watsonville Community Hospital
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $659
- Cash Discount Price: $659
- vs. Medicare Baseline: 5.22x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 522% of the Medicare baseline (a markup of 422%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Health Net of California | $111 - $688 | 88% |
| Alignment Health Plan | $111 | 88% |
| UnitedHealthcare | $111 - $659 | 88% |
| Secure Horizons Dign HMO | $111 - $220 | 88% |
| Medicare (plans) | $111 | 88% |
| Secure Horizons | $111 | 88% |
| Nx Health Network | $139 | 110% |
| Medicaid / KanCare | $171 | 135% |
| California Childrens Srvs | $171 | 135% |
| Medi-Cal E.R. | $171 | 135% |
| Healthy Families | $171 - $344 | 135% |
| Well Path | $171 - $1,098 | 135% |
| Medi-Cal/Eds | $171 | 135% |
| Ccs/Monterey County | $171 | 135% |
| Alliance/Sccho | $172 | 136% |
| Medicruz | $198 | 157% |
| Victim Compensation Plan | $198 - $1,098 | 157% |
| Health Net Pmg HMO | $220 - $688 | 174% |
| Cigna | $220 - $768 | 174% |
| Blue Shield HMO | $220 | 174% |
| Blue Cross Blue Shield | $220 - $978 | 174% |
| Great-West/Phcs | $220 - $768 | 174% |
| Aetna | $220 - $900 | 174% |
| Pacificare HMO | $220 - $659 | 174% |
| Bs Employee | $344 | 272% |
| United Agriculture | $344 | 272% |
| Blue Shield PPO | $344 | 272% |
| Ufcw/Valley Clerks | $344 | 272% |
| Kaiser Northern | $355 | 281% |
| Pinnacle Claims Tpa/Bc | $439 - $978 | 348% |
| Western Growers Trust/Bc | $439 - $978 | 348% |
| Calif Ironworkers Field | $534 - $978 | 423% |
| Robert Kennedy/Ccn | $534 - $978 | 423% |
| Claims Management Wc | $534 - $978 | 423% |
| City of Wats/Pinnacle Clm | $534 - $978 | 423% |
| Carpenters H&W Trust | $534 - $978 | 423% |
| State Compensation Fund | $534 - $978 | 423% |
| Operating Engineers | $534 - $978 | 423% |
| Monterey Bay Pub Emp Trst | $534 - $978 | 423% |
| Delta Health Systems | $534 - $978 | 423% |
| Sheet Metal Workers | $534 - $978 | 423% |
| Laborers Health & Welfare | $534 - $978 | 423% |
| Teamsters Benefit Trust | $534 - $978 | 423% |
| Western Health Advantage | $549 | 435% |
| Pacificare PPO | $659 | 522% |
| Health Net Smartcare Netw | $659 | 522% |
| Self Pay | $659 | 522% |
| Health Net Canopycare HMO | $688 | 545% |
| Health Net Blue and Gold | $688 | 545% |
| Transwestern | $768 - $878 | 608% |
| Adventist Risk Management | $768 - $878 | 608% |
| Geha (Ccn) | $768 - $878 | 608% |
| First Health | $768 - $878 | 608% |
| Multiplan Inc PPO | $856 | 678% |
| Private Healthcare System | $856 | 678% |
| Salinas Valley Mem Hops | $933 | 739% |
| Coastal Healthcare Admin | $933 - $988 | 739% |
| Allstate | $1,098 | 870% |
| Sutter Health Plus | $1,098 | 870% |
| Aaa | $1,098 | 870% |
| Humana | $1,098 | 870% |
| Apwu Health Plan | $1,098 | 870% |
| North Calif Bakery Driver | $1,098 | 870% |
| Farmers Insurance | $1,098 | 870% |
| Miscellaneous Auto | $1,098 | 870% |
| State Farm Ins | $1,098 | 870% |
| Travelers Insurance | $1,098 | 870% |
| United Administrative | $1,098 | 870% |
| Miscellaneous Insurance | $1,098 | 870% |
| Zenith National Ins | $1,098 | 870% |
| Bankers Life & Casualty | $1,098 | 870% |
| Prucare Pmg POS | $1,098 | 870% |
| Physicians Mutual | $1,098 | 870% |
| Wholesale Beer Distributo | $1,098 | 870% |
| Prucare Pmg HMO | $1,098 | 870% |
| Aarp | $1,098 | 870% |