CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Northeast Regional Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $176
  • Cash Discount Price: $449
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Northeast Regional Medical Center is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $449. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.39x the Medicare baseline. Located in 315 S Osteopathy, Kirksville, MO.
Cash / Self-Pay
$449

Average discount available for prompt cash payment at this facility.

Insurance Median
$176

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: $449 (356%)
Insurance Median: $176 (139%)
Cash: $449 (356% of Medicare)
Ins. Median: $176 (139% 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
Blue Access $39 - $79 31%
Blue Cross Blue Shield $39 - $346 31%
Blue Pathway/Pathway X $39 - $79 31%
Blue Prefrerred $39 - $79 31%
Medicare (plans) $39 - $77 31%
Node Hospice Non Par Agree $39 - $79 31%
Node Va $39 - $79 31%
UnitedHealthcare $39 - $852 31%
Node Devoted Health Mcr Adv $40 - $81 32%
Centurion Correctional $49 - $98 39%
Home State Exchange $71 - $142 56%
Naphcare $75 - $149 59%
Node Champva $77 61%
Tricare $77 61%
Veterans Eval Services $77 61%
Immergrun $79 - $157 63%
Us Department Of Labor $96 - $191 76%
Medicaid / KanCare $108 - $176 86%
Self Pay $273 - $625 216%
Cigna $386 - $444 306%
Aetna $423 - $947 335%
Access Health Services, Llc $738 585%
Healthlink $852 - $909 675%
Multiplan $852 - $909 675%
Coventry Wc $909 720%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 S Osteopathy, Kirksville, MO 63501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals