CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Mercyone Des Moines Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $234
  • Cash Discount Price: $437
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Mercyone Des Moines Medical Center is $234. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $437. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.49x the Medicare baseline. Located in 1111 6Th Ave, Des Moines, IA.
Cash / Self-Pay
$437

Average discount available for prompt cash payment at this facility.

Insurance Median
$234

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)
Cash / Self-Pay: $437 (278%)
Insurance Median: $234 (149%)
Cash: $437 (278% of Medicare)
Ins. Median: $234 (149% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 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
Aetna $99 - $234 63%
Iowa Dept Of Public Health $99 - $142 63%
Iowa Total Care $99 63%
Medicare (plans) $99 - $103 63%
Blue Cross Blue Shield $100 - $344 64%
Medicaid / KanCare $101 - $145 64%
UnitedHealthcare $101 - $673 64%
Amish Hospital Aid $134 85%
Health Choices $135 86%
Medical Associates $135 86%
Oscar $143 91%
Centivo $145 92%
Ambetter / Centene $169 108%
Claimdoc $203 129%
Nova $203 129%
Geha $211 - $305 134%
1199 National Benefit Fund $234 149%
Allied Benefit Systems $234 149%
Asr Health Benefits $234 149%
Christian Brother Services $234 149%
Coventry $234 149%
First Health $234 149%
Lucent Health $234 149%
Luminare Health $234 149%
Medical Mutual $234 149%
Meritain $234 149%
Trustmark Small Business Benefits $234 149%
Webtpa $234 149%
Blue Benefit Administrators Of Massachusetts $243 - $344 155%
Blue Care Network $243 - $344 155%
Blue Distinction Transplant $243 - $344 155%
Blue Shield - Ca $243 - $344 155%
Blue Shield - Id (Regence) $243 - $344 155%
Blue Shield - Ny Highmark Northeastern $243 - $344 155%
Blue Shield - Ny Highmark Western $243 - $344 155%
Blue Shield - Pa (Highmark) $243 - $344 155%
Blue Shield - Wa (Regence) $243 - $344 155%
Cigna $404 257%
Health Partners $427 272%
Auxiant $437 278%
Medica $437 278%
Midlands $437 278%
Midlands Choice $437 278%
Usa Managed Care $572 364%
Crime Victim Assistance $673 429%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1111 6Th Ave, Des Moines, IA 50314
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals