CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Mercyone Dyersville Medical Center

Billing Code: 77067 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$126

about 1.0× the $126 Medicare rate · typically $61–$262

modeled estimate · not a bill or quote

What this hospital charges insurers

$115

About the fair price

about $11 under the fair price · 0.9× Medicare

Medicare pays $126 Fair price $126 This hospital $115 Cash price $384 Hospital's list price $592

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Highest price of the 9 IA hospitals we have prices for — worth calling around.

Cheapest $34 Priciest $115

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Screening mammogram (both breasts) is about $126 (about 1.0× the $126 Medicare rate). Mercyone Dyersville Medical Center charges insurers about $115, or about $384 in cash — about the fair price. Located in Dyersville, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$88 - $497	70%
Blue Cross Blue Shieldmajor	$82	65%
Aetnamajor	$391 - $587	310%
Cignamajor	$426 - $639	337%
Ambetter (Centene)	$140	111%
GEHA	$331 - $497	262%
Medica	$426 - $639	337%
Medical Mutual	$391 - $587	310%
+ 16 smaller / regional plans	$111 - $710

Government programs also on file: Medicare, Medicaid.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 384), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77067.

Insurance Before you use insurance

Call your insurance company to confirm Mercyone Dyersville Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 77067.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercyone Dyersville Medical Center

Compare: Screening mammogram (both breasts) at other IA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.