CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Mercy Hospital Southeast

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $170
  • Cash Discount Price: $402
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Mercy Hospital Southeast is $170. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $402. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.08x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.
Cash / Self-Pay
$402

Average discount available for prompt cash payment at this facility.

Insurance Median
$170

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: $402 (256%)
Insurance Median: $170 (108%)
Cash: $402 (256% of Medicare)
Ins. Median: $170 (108% 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
Aetna $40 - $396 25%
Medicaid / KanCare $40 - $240 25%
Blue Cross Blue Shield $91 - $587 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%
Halo Hcr Inc Hospice Contracted [320432] $91 58%
Halo Hcr Inc Hospice [20432] $91 58%
Humana $91 - $525 58%
Kindful Hospice Contracted [320434] $91 58%
Kindful Hospice [20434] $91 58%
Medicare (plans) $91 - $105 58%
Mercy Hospice Okc [20252] $91 58%
Pace Of The Ozarks Contracted [320518] $91 58%
Tricare $91 58%
UnitedHealthcare $91 - $224 58%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $94 60%
United Medical Resources Contracted [320454] $102 65%
Provider Partners Health Plans Contracted [320450] $105 67%
Ambetter / Centene $121 77%
Home State Health Plan Contracted [320187] $121 77%
Consociate Consolidated Health Contracted [320490] $128 - $206 82%
Centivo Contracted [320505] $154 98%
Preferred Health Plan Contracted [320522] $163 104%
Auxiant Contracted [320462] $170 - $202 108%
Ebms Contracted [320493] $170 108%
Healthlink Contracted [320179] $170 - $482 108%
Imagine 360 Contracted [320494] $170 108%
Mercy Benefit Admin Contracted [320251] $170 - $420 108%
Reflect Health Contracted [320492] $176 112%
Hope Trust Contracted [320488] $228 145%
First Health Contracted [320128] $396 252%
Health Alliance Contracted [320164] $402 256%
Aither Health Contracted [320449] $420 268%
Edison Health Solutions Contracted [320502] $420 268%
Mercy Benefit Admin [20251] $420 268%
Yuzu Health Contracted [320521] $420 268%
Cigna $431 275%
Workers Comp [20426] $464 - $494 296%
Multiplan Contracted [320270] $494 315%
Private Health Care Systems Contracted [320320] $494 315%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Lacey St, Cape Girardeau, MO 63701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals