CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Vidant Chowan Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $290
Cash Discount Price: $322
vs. Medicare Baseline: 2.30x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Vidant Chowan Hospital is $290. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $322. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 2.30x the Medicare baseline. Located in 211 Virginia Rd, Edenton, NC.

Cash / Self-Pay

$322

Average discount available for prompt cash payment at this facility.

Insurance Median

$290

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: $322 (255%)

Insurance Median: $290 (230%)

Cash: $322 (255% of Medicare)

Ins. Median: $290 (230% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 230% of the Medicare baseline (a markup of 130%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Humana	$83	66%
UnitedHealthcare	$85 - $495	67%
Liberty Advantage [1313]	$87	69%
Aetna	$87 - $657	69%
Blue Cross Blue Shield	$104 - $487	82%
Wellcare [1320]	$106 - $245	84%
Carolina Complete Health [1317]	$106 - $243	84%
Amerihealth McAid Adv [1316]	$107 - $246	85%
Longevity Health [1411]	$108	86%
Nc Dept of Public Safety [1095]	$195 - $450	154%
Medcost [1067]	$220 - $536	174%
Cigna	$296 - $763	234%
Multiplan [1031]	$331 - $763	262%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $322.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77067.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Vidant Chowan Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77067.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.