CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Southern Hills Hospital and Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $108
Cash Discount Price: $726
vs. Medicare Baseline: 0.86x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Southern Hills Hospital and Medical Center is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $726. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.86x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.

Cash / Self-Pay

$726

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $726 (575%)

Insurance Median: $108 (86%)

Cash: $726 (575% of Medicare)

Ins. Median: $108 (86% 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.

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
Aetna	$14 - $198	11%
Blue Cross Blue Shield	$36 - $166	29%
Community Care Health	$38 - $141	30%
Sierra Hpn	$38 - $141	30%
Molina Healthcare	$38 - $147	30%
Ambetter / Centene	$41 - $158	32%
Humana	$88 - $92	70%
Select Health	$89 - $174	70%
Health Net	$90 - $92	71%
Hometown Health McR	$91 - $92	72%
Triwest	$91 - $92	72%
Alignment Health Plan	$91 - $92	72%
United	$92 - $217	73%
Caremore	$93 - $94	74%
Imperial Nv	$100 - $101	79%
Universal Healthcare	$109 - $111	86%
Sierra	$162	128%
Cigna	$195	154%
Prominence Healthfirst	$226	179%
Cmn Global	$317	251%
Evernorth	$377	299%
Legacy Provider Network	$436	345%
Nv Health & Welfare Trust	$452	358%
Corvel	$461 - $487	365%
Multiplan	$475 - $550	376%
Olympus Medsave USA	$485 - $566	384%
First Health	$498 - $603	394%
Medcare International	$566	448%

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 $726.
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 Southern Hills Hospital and Medical Center 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.