CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Mercy Hospital Southeast

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $196
  • Cash Discount Price: $239
  • vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Mercy Hospital Southeast is $196. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $239. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.55x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.
Cash / Self-Pay
$239

Average discount available for prompt cash payment at this facility.

Insurance Median
$196

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: $239 (189%)
Insurance Median: $196 (155%)
Cash: $239 (189% of Medicare)
Ins. Median: $196 (155% 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
Aetna $19 - $299 15%
Medicaid / KanCare $19 - $194 15%
Blue Cross Blue Shield $76 - $444 60%
Cross Timbers Hospice [20098] $76 60%
Dept Of Veteran Affairs Contracted [320106] $76 60%
Elara Caring Aspire Hospice Contracted [320433] $76 60%
Elara Caring Aspire Hospice [20433] $76 60%
Halo Hcr Inc Hospice Contracted [320432] $76 60%
Halo Hcr Inc Hospice [20432] $76 60%
Humana $76 - $397 60%
Kindful Hospice Contracted [320434] $76 60%
Kindful Hospice [20434] $76 60%
Medicare (plans) $76 - $87 60%
Mercy Hospice Okc [20252] $76 60%
Pace Of The Ozarks Contracted [320518] $76 60%
Tricare $76 60%
UnitedHealthcare $76 - $185 60%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $78 62%
United Medical Resources Contracted [320454] $85 67%
Provider Partners Health Plans Contracted [320450] $87 69%
Ambetter / Centene $100 79%
Home State Health Plan Contracted [320187] $100 79%
Consociate Consolidated Health Contracted [320490] $106 - $170 84%
Centivo Contracted [320505] $127 101%
Preferred Health Plan Contracted [320522] $135 107%
Auxiant Contracted [320462] $141 - $167 112%
Ebms Contracted [320493] $141 112%
Healthlink Contracted [320179] $141 - $364 112%
Imagine 360 Contracted [320494] $141 112%
Mercy Benefit Admin Contracted [320251] $141 - $318 112%
Reflect Health Contracted [320492] $146 116%
First Health Contracted [320128] $184 - $299 146%
Health Alliance Contracted [320164] $187 - $304 148%
Hope Trust Contracted [320488] $189 150%
Aither Health Contracted [320449] $196 - $318 155%
Edison Health Solutions Contracted [320502] $196 - $318 155%
Mercy Benefit Admin [20251] $196 - $318 155%
Yuzu Health Contracted [320521] $196 - $318 155%
Workers Comp [20426] $216 - $374 171%
Multiplan Contracted [320270] $230 - $374 182%
Private Health Care Systems Contracted [320320] $230 - $374 182%
Cigna $357 283%

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