CMS Price Transparency Data
Screening mammogram (both breasts)
Facility: Mercy Hospital Fort Smith
Billing Code: 77067 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77067
- Insurance Median: $99
- Cash Discount Price: $131
- vs. Medicare Baseline: 0.78x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Mercy Hospital Fort Smith is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $131. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.78x the Medicare baseline. Located in 7301 Rogers Ave, Fort Smith, AR.
Cash / Self-Pay
$131
Average discount available for prompt cash payment at this facility.
Insurance Median
$99
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: $131 (104%)
Insurance Median: $99 (78%)
Cash: $131 (104% of Medicare)
Ins. Median: $99 (78% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Mercy Interfacility [20513] | $36 - $53 | 29% |
| Aither Health Contracted [320449] | $40 - $60 | 32% |
| Edison Health Solutions Contracted [320502] | $40 - $60 | 32% |
| Mercy Benefit Admin Contracted [320251] | $40 - $145 | 32% |
| Aetna | $75 - $193 | 59% |
| American Health Advantage Of Mo Mcr [20264] | $75 | 59% |
| Blue Cross Blue Shield | $75 - $104 | 59% |
| Cherokee Nation Health Serv Contracted [320066] | $75 | 59% |
| Cross Timbers Hospice [20098] | $75 | 59% |
| Dept Of Veteran Affairs Contracted [320106] | $75 | 59% |
| Elara Caring Aspire Hospice Contracted [320433] | $75 | 59% |
| Elara Caring Aspire Hospice [20433] | $75 | 59% |
| Globalhealth Contracted [320145] | $75 | 59% |
| Halo Hcr Inc Hospice Contracted [320432] | $75 | 59% |
| Halo Hcr Inc Hospice [20432] | $75 | 59% |
| Humana | $75 - $193 | 59% |
| Independent Health [20197] | $75 | 59% |
| Jordan Valley Senior Care Pace [20515] | $75 | 59% |
| Kindful Hospice Contracted [320434] | $75 | 59% |
| Kindful Hospice [20434] | $75 | 59% |
| Medical Associates Health [20444] | $75 | 59% |
| Medicare (plans) | $75 - $79 | 59% |
| Mercy Hospice Okc [20252] | $75 | 59% |
| Pace Of The Ozarks [20518] | $75 | 59% |
| Provider Partners Health Plans Contracted [320450] | $75 | 59% |
| Qual Choice Contracted [320325] | $75 | 59% |
| Spina Bifida Hlthcare Benefit [20506] | $75 | 59% |
| Tribute Health Plan Mcr [20338] | $75 | 59% |
| Tricare | $75 | 59% |
| UnitedHealthcare | $75 - $225 | 59% |
| Valir Pace [20503] | $75 | 59% |
| Wellfirst Health Mcr [20443] | $75 | 59% |
| Medicaid / KanCare | $77 - $126 | 61% |
| Cigna | $79 - $188 | 63% |
| 90 Degree Benefits Contracted [320436] | $81 - $120 | 64% |
| Show-Me Health Administrators Contracted [320483] | $81 - $120 | 64% |
| Auxiant Contracted [320462] | $97 - $157 | 77% |
| Ebms Contracted [320493] | $97 - $145 | 77% |
| Healthlink Contracted [320179] | $97 - $157 | 77% |
| Imagine 360 Contracted [320494] | $97 - $145 | 77% |
| Municipal Health Plan Contracted [320271] | $97 - $145 | 77% |
| Reflect Health Contracted [320492] | $97 - $145 | 77% |
| Arkansas Department Of Health [20036] | $99 | 78% |
| Summit Community Care Contracted [320368] | $99 | 78% |
| Summit Community Care [20368] | $99 | 78% |
| Usable Contracted [320409] | $104 | 82% |
| Insurance System Inc Contracted [320465] | $105 - $157 | 83% |
| Personify Health Contracted [320051] | $105 - $157 | 83% |
| Preferred Health Plan Contracted [320522] | $105 - $157 | 83% |
| Workers Comp [20426] | $105 - $157 | 83% |
| Ambetter / Centene | $108 | 86% |
| Home State Health Plan Contracted [320187] | $108 | 86% |
| Novasys Contracted [320285] | $108 - $169 | 86% |
| Employers Health Coalition Contracted [320116] | $113 - $169 | 90% |
| Ppo Plus Contracted [320310] | $122 - $181 | 97% |
| First Health Contracted [320128] | $125 - $186 | 99% |
| Private Health Care Systems Contracted [320320] | $130 - $193 | 103% |
| Private Health Care Systems [20320] | $130 - $193 | 103% |
| Multiplan Contracted [320270] | $138 - $205 | 109% |
| Multiplan [20270] | $138 - $205 | 109% |
| Health Choice Contracted [320166] | $203 | 161% |
| Arkansas Total Care Contracted [320039] | $224 | 177% |
| Arkansas Total Care [20039] | $224 | 177% |
| United Medical Resources Contracted [320454] | $225 | 178% |
| Qual Choice Contracted [320324] | $231 | 183% |