CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Mercyone Des Moines Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $192
  • Cash Discount Price: $564
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Mercyone Des Moines Medical Center is $192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $564. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.52x the Medicare baseline. Located in 1111 6Th Ave, Des Moines, IA.
Cash / Self-Pay
$564

Average discount available for prompt cash payment at this facility.

Insurance Median
$192

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: $564 (447%)
Insurance Median: $192 (152%)
Cash: $564 (447% of Medicare)
Ins. Median: $192 (152% 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.

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 $82 - $288 65%
Blue Cross Blue Shield $82 - $201 65%
Iowa Dept Of Public Health $82 - $115 65%
Iowa Total Care $82 - $116 65%
Medicare (plans) $82 - $85 65%
Medicaid / KanCare $83 - $118 66%
UnitedHealthcare $83 - $831 66%
Amish Hospital Aid $111 88%
Health Choices $111 - $167 88%
Medical Associates $111 - $167 88%
Oscar $118 93%
Centivo $120 95%
Ambetter / Centene $140 111%
Claimdoc $167 132%
Nova $167 132%
Geha $175 - $247 139%
1199 National Benefit Fund $192 - $288 152%
Allied Benefit Systems $192 - $288 152%
Asr Health Benefits $192 - $288 152%
Christian Brother Services $192 - $288 152%
Coventry $192 - $288 152%
First Health $192 - $288 152%
Lucent Health $192 - $288 152%
Luminare Health $192 - $288 152%
Medical Mutual $192 - $288 152%
Meritain $192 - $288 152%
Trustmark Small Business Benefits $192 - $288 152%
Webtpa $192 - $288 152%
Blue Benefit Administrators Of Massachusetts $201 159%
Blue Care Network $201 159%
Blue Distinction Transplant $201 159%
Blue Shield - Ca $201 159%
Blue Shield - Id (Regence) $201 159%
Blue Shield - Ny Highmark Northeastern $201 159%
Blue Shield - Ny Highmark Western $201 159%
Blue Shield - Pa (Highmark) $201 159%
Blue Shield - Wa (Regence) $201 159%
Cigna $332 - $499 263%
Health Partners $351 - $528 278%
Auxiant $359 - $540 284%
Medica $359 - $540 284%
Midlands $359 - $540 284%
Midlands Choice $359 - $540 284%
Usa Managed Care $470 - $706 372%
Crime Victim Assistance $553 - $831 438%

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