CMS Price Transparency Data
Screening mammogram (both breasts)
Facility: Mercy Health Saint Mary's
Billing Code: 77067 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77067
- Insurance Median: $237
- Cash Discount Price: $221
- vs. Medicare Baseline: 1.88x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Mercy Health Saint Mary's is $237. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $221. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.88x the Medicare baseline. Located in 200 Jefferson Avenue Se, Grand Rapids, MI.
Cash / Self-Pay
$221
Average discount available for prompt cash payment at this facility.
Insurance Median
$237
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: $221 (175%)
Insurance Median: $237 (188%)
Cash: $221 (175% of Medicare)
Ins. Median: $237 (188% 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 |
|---|---|---|
| Blue Cross Blue Shield | $46 - $257 | 36% |
| Medicaid / KanCare | $46 | 36% |
| Access Health | $58 | 46% |
| Aetna | $82 - $320 | 65% |
| Blue Care Network Advantage | $82 | 65% |
| Medicare (plans) | $82 | 65% |
| Align Senior Care | $83 | 66% |
| Correctional Recovery | $83 | 66% |
| Hospice Faith | $83 | 66% |
| Hospice Of Holland | $83 | 66% |
| Oscar | $83 | 66% |
| UnitedHealthcare | $86 - $367 | 68% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $94 | 74% |
| Molina Marketplace | $108 | 86% |
| Vitalcore | $129 | 102% |
| Wellpath | $129 | 102% |
| Wc Accident Fund | $170 - $200 | 135% |
| Wc Advantage | $170 - $200 | 135% |
| Wc Aig | $170 - $200 | 135% |
| Wc Allied | $170 - $200 | 135% |
| Wc Amerisure | $170 - $200 | 135% |
| Wc Amtrust | $170 - $200 | 135% |
| Wc Asu Risk Mgt | $170 - $200 | 135% |
| Wc Berkley Admin | $170 - $200 | 135% |
| Wc Broadspire | $170 - $200 | 135% |
| Wc Bunch & Associates | $170 - $200 | 135% |
| Wc Ccmsi | $170 - $200 | 135% |
| Wc Emc Insurance Company | $170 - $200 | 135% |
| Wc Esis | $170 - $200 | 135% |
| Wc Fcci | $170 - $200 | 135% |
| Wc Federated | $170 - $200 | 135% |
| Wc Gallagher Bassett | $170 - $200 | 135% |
| Wc Genex Care For Ohio | $170 - $200 | 135% |
| Wc Guard Insurance Company | $170 - $200 | 135% |
| Wc Hartford | $170 - $200 | 135% |
| Wc Liberty Mutual | $170 - $200 | 135% |
| Wc Meijers | $170 - $200 | 135% |
| Wc Michigan | $170 - $200 | 135% |
| Wc Mitchell Frankenmuth | $170 - $200 | 135% |
| Wc Pma | $170 - $200 | 135% |
| Wc Sedgwick | $170 - $200 | 135% |
| Wc Sentry | $170 - $200 | 135% |
| Wc Travelers | $170 - $200 | 135% |
| Wc Tristar | $170 - $200 | 135% |
| Wc Walmart | $170 - $200 | 135% |
| Wc Zurich | $170 - $200 | 135% |
| Nomi Health | $175 - $206 | 139% |
| Acs Benefit Services | $179 - $211 | 142% |
| Allied Benefit Systems | $179 - $211 | 142% |
| Claimchoice Adminstrators | $179 - $211 | 142% |
| Consociate | $179 - $211 | 142% |
| Cypress Benefit Administrators | $179 - $211 | 142% |
| Forest County Potawatomi | $179 - $211 | 142% |
| Health Smart | $179 - $211 | 142% |
| Healthgram | $179 - $211 | 142% |
| Healthscope | $179 - $211 | 142% |
| Secureone Preferred United Plans | $179 - $211 | 142% |
| Sisco Benefits | $179 - $211 | 142% |
| The Health Plan | $179 - $211 | 142% |
| Trustmark Small Business Benefits | $179 - $211 | 142% |
| Unified Group Services | $179 - $211 | 142% |
| Webtpa | $179 - $211 | 142% |
| Asr Health Benefits | $198 - $233 | 157% |
| Hap | $198 - $285 | 157% |
| Varipro | $203 - $238 | 161% |
| Caresource | $204 - $240 | 162% |
| 1199 National Benefit Fund | $228 - $268 | 181% |
| Allied National Global Care | $228 - $268 | 181% |
| Asrm - Reliance Standard Life Insurance | $228 - $268 | 181% |
| Christian Care Ministry | $228 - $268 | 181% |
| Cigna | $228 - $268 | 181% |
| Dean Health | $228 - $268 | 181% |
| Fallon Health | $228 - $268 | 181% |
| Family Life Insurance Company | $228 - $268 | 181% |
| Ghc Scw | $228 - $268 | 181% |
| Group Pension Administrators | $228 - $268 | 181% |
| International Benefit Administrators | $228 - $268 | 181% |
| Lifetime Benefit Solutions | $228 - $268 | 181% |
| Manhattan Life | $228 - $268 | 181% |
| Medi Share | $228 - $268 | 181% |
| Multiplan | $228 - $268 | 181% |
| Mvp | $228 - $268 | 181% |
| Pai | $228 - $268 | 181% |
| Pan-American Life | $228 - $268 | 181% |
| Paramount Hmo | $228 - $268 | 181% |
| Phcs | $228 - $268 | 181% |
| Trinity Health Share | $228 - $268 | 181% |
| Acclaim | $237 - $279 | 188% |
| Administrative Concepts | $237 - $279 | 188% |
| Allegeant | $237 - $279 | 188% |
| Ameriben | $237 - $279 | 188% |
| American Family | $237 - $279 | 188% |
| American Healthcare Alliance | $237 - $279 | 188% |
| American Republic | $237 - $279 | 188% |
| Amerihealth | $237 - $279 | 188% |
| Aultcare | $237 - $279 | 188% |
| Automated Benefit Services | $237 - $279 | 188% |
| Auxiant | $237 - $279 | 188% |
| Benefit Administrative Systems,Llc | $237 - $279 | 188% |
| Boon Chapman | $237 - $279 | 188% |
| Cam Administrative Services | $237 - $279 | 188% |
| Christian Brother Services | $237 - $279 | 188% |
| Christian Brothers Holy Cross | $237 - $279 | 188% |
| Comprehensive Benefits | $237 - $279 | 188% |
| Continental Life Insurance | $237 - $279 | 188% |
| Custom Benefit Administrators | $237 - $279 | 188% |
| Employee Benefit Concepts | $237 - $279 | 188% |
| Employee Benefit Management | $237 - $279 | 188% |
| Enterprise Group Planning | $237 - $279 | 188% |
| Freedom Life Insurance Company | $237 - $279 | 188% |
| Geha | $237 - $320 | 188% |
| Group Administrators | $237 - $279 | 188% |
| Group Marketing Services | $237 - $279 | 188% |
| Guardian | $237 - $279 | 188% |
| Health America | $237 - $279 | 188% |
| Health Choices | $237 - $279 | 188% |
| Healthez | $237 - $279 | 188% |
| Humana | $237 - $367 | 188% |
| Insight | $237 - $279 | 188% |
| Intercare | $237 - $279 | 188% |
| Jfp Benefit Management | $237 - $279 | 188% |
| Jp Farley Corporation | $237 - $279 | 188% |
| Key Benefit Administrator | $237 - $279 | 188% |
| Liberty Union Life Assurance Co | $237 - $279 | 188% |
| Lucent Health | $237 - $279 | 188% |
| Luminare Health | $237 - $279 | 188% |
| Luminare Health (Detroit) | $237 - $279 | 188% |
| Medben | $237 - $279 | 188% |
| Medcost | $237 - $279 | 188% |
| Mutual Health Services | $237 - $279 | 188% |
| Mutual Of Omaha | $237 - $279 | 188% |
| Ncas | $237 - $279 | 188% |
| Nippon Life Ins | $237 - $279 | 188% |
| Nova | $237 - $279 | 188% |
| Painters Union Insurance Fund | $237 - $279 | 188% |
| Physicians Mutual | $237 - $279 | 188% |
| Plumbers Local 98 Insurance Fund | $237 - $279 | 188% |
| Prairie States | $237 - $279 | 188% |
| Primary Physician Care | $237 - $279 | 188% |
| Professional Benefit Administrators | $237 - $279 | 188% |
| The Loomis Company | $237 - $279 | 188% |
| U Of M Health Plan | $237 - $280 | 188% |
| Unicare | $237 - $279 | 188% |
| Us Health And Life | $237 - $279 | 188% |
| Valenz | $237 - $279 | 188% |
| Western & Southern Financial Group | $237 - $279 | 188% |
| Wps | $237 - $279 | 188% |
| Priority Health | $238 - $240 | 189% |
| Coventry | $247 - $291 | 196% |
| First Health | $247 - $291 | 196% |
| Bcn Domestic | $257 | 204% |
| Blue Benefit Administrators Of Massachusetts | $257 | 204% |
| Blue Care Network | $257 | 204% |
| Blue Distinction Transplant | $257 | 204% |
| Blue Shield - Ca | $257 | 204% |
| Blue Shield - Id (Regence) | $257 | 204% |
| Blue Shield - Ny Highmark Northeastern | $257 | 204% |
| Blue Shield - Ny Highmark Western | $257 | 204% |
| Blue Shield - Pa (Highmark) | $257 | 204% |
| Blue Shield - Wa (Regence) | $257 | 204% |
| Kaiser Domestic | $257 | 204% |
| Cmh Allegan County | $312 - $367 | 247% |
| Cmh Ausable Valley | $312 - $367 | 247% |
| Cmh Barry County | $312 - $367 | 247% |
| Cmh Berrien County | $312 - $367 | 247% |
| Cmh Cass County | $312 - $367 | 247% |
| Cmh Clinton-Eaton-Ingham County | $312 - $367 | 247% |
| Cmh Kalamazoo | $312 - $367 | 247% |
| Cmh Kent County | $312 - $367 | 247% |
| Cmh Lenawee County | $312 - $367 | 247% |
| Cmh Misc | $312 - $367 | 247% |
| Cmh Monroe County | $312 - $367 | 247% |
| Cmh Montcalm County | $312 - $367 | 247% |
| Cmh Muskegon County | $312 - $367 | 247% |
| Cmh Newaygo County | $312 - $367 | 247% |
| Cmh North Country | $312 - $367 | 247% |
| Cmh Northern Lakes County | $312 - $367 | 247% |
| Cmh Ottawa County | $312 - $367 | 247% |
| Cmh Van Buren County | $312 - $367 | 247% |
| Cmh West Mi County | $312 - $367 | 247% |
| Magellan Behavioral Health | $312 - $367 | 247% |
| Medical Mutual | $320 | 253% |
| Meritain | $320 | 253% |
| Preferred One | $320 | 253% |