CMS Price Transparency Data
Diagnostic mammogram (both breasts)
Facility: Mercy Hospital Washington
Billing Code: 77066 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77066
- Insurance Median: $232
- Cash Discount Price: $386
- vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Mercy Hospital Washington is $232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $386. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.48x the Medicare baseline. Located in 901 East 5Th Street, Washington, MO.
Cash / Self-Pay
$386
Average discount available for prompt cash payment at this facility.
Insurance Median
$232
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: $386 (246%)
Insurance Median: $232 (148%)
Cash: $386 (246% of Medicare)
Ins. Median: $232 (148% 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 |
|---|---|---|
| Medicaid / KanCare | $39 - $220 | 25% |
| Aetna | $89 - $208 | 57% |
| American Health Advantage Of Mo Mcr [10473] | $91 | 58% |
| Blue Cross Blue Shield | $91 - $535 | 58% |
| Cherokee Nation Health Serv Contracted [320066] | $91 | 58% |
| Cross Timbers Hospice [20098] | $91 | 58% |
| Dept Of Veteran Affairs Contracted [320106] | $91 | 58% |
| Elara Caring Aspire Hospice Contracted [320433] | $91 | 58% |
| Elara Caring Aspire Hospice [20433] | $91 | 58% |
| Globalhealth Contracted [320145] | $91 | 58% |
| Halo Hcr Inc Hospice Contracted [320432] | $91 | 58% |
| Halo Hcr Inc Hospice [20432] | $91 | 58% |
| Humana | $91 | 58% |
| Kindful Hospice Contracted [320434] | $91 | 58% |
| Kindful Hospice [20434] | $91 | 58% |
| Medicare (plans) | $91 - $594 | 58% |
| Mercy Hospice Okc [20252] | $91 | 58% |
| Pace Of The Ozarks Contracted [320518] | $91 | 58% |
| Qual Choice Contracted [320325] | $91 | 58% |
| Tricare | $91 | 58% |
| UnitedHealthcare | $91 - $173 | 58% |
| Cigna | $93 - $267 | 59% |
| Provider Partners Health Plans Contracted [320450] | $101 | 64% |
| Healthscope Contracted [320182] | $115 | 73% |
| United Medical Resources Contracted [320454] | $143 | 91% |
| Centivo Contracted [320505] | $154 | 98% |
| Medica Contracted [320239] | $155 | 99% |
| Ambetter / Centene | $160 | 102% |
| Home State Health Plan Contracted [320187] | $160 | 102% |
| Novasys Contracted [320285] | $160 | 102% |
| Preferred Health Plan Contracted [320522] | $163 | 104% |
| Hope Trust Contracted [320488] | $210 | 134% |
| Aither Health Contracted [320449] | $232 | 148% |
| Aither Health [20449] | $232 | 148% |
| Auxiant Contracted [320462] | $232 | 148% |
| Ebms Contracted [320493] | $232 | 148% |
| Edison Health Solutions Contracted [320502] | $232 | 148% |
| Healthlink Contracted [320179] | $232 - $404 | 148% |
| Imagine 360 Contracted [320494] | $232 | 148% |
| Mercy Benefit Admin Contracted [320251] | $232 - $297 | 148% |
| Mercy Benefit Admin [20251] | $232 - $297 | 148% |
| Reflect Health Contracted [320492] | $232 | 148% |
| Show-Me Health Administrators Contracted [320483] | $232 | 148% |
| Yuzu Health Contracted [320521] | $232 | 148% |
| Health Choices Contracted [320448] | $356 | 227% |
| Health Choices [20448] | $356 | 227% |
| Medical Associates Health Contracted [320444] | $356 | 227% |
| Federal Medical Center Contracted [320127] | $386 | 246% |
| Insurance System Inc Contracted [320465] | $386 | 246% |
| Point C Contracted [320238] | $386 | 246% |
| Tri State Healthcare Coalition Contracted [320379] | $386 | 246% |
| First Health Contracted [320128] | $422 | 269% |
| Multiplan Contracted [320270] | $446 | 284% |
| Workers Comp [20426] | $446 - $475 | 284% |