CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Poplar Bluff Regional Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $192
  • Cash Discount Price: $97
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Poplar Bluff Regional Medical Center is $192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $97. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.22x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$97

Average discount available for prompt cash payment at this facility.

Insurance Median
$192

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: $97 (62%)
Insurance Median: $192 (122%)
Cash: $97 (62% of Medicare)
Ins. Median: $192 (122% 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 $76 - $299 48%
Self Pay $91 58%
Node Champva $93 59%
Tricare $93 59%
Veterans Eval Services $93 59%
Medicare (plans) $94 60%
Node United Behavioral Health Mcr Adv $94 60%
Blue Access $95 61%
Blue Cross Blue Shield $95 - $112 61%
Humana $95 61%
Node Hospice Non Par Agree $95 61%
Node Va $95 61%
UnitedHealthcare $95 - $226 61%
Node Ahs Mcr Adv $98 62%
Node Devoted Health Mcr Adv $99 63%
Node Pphp Mcr Adv $108 69%
Centurion Correctional $119 76%
Naphcare $181 115%
Cigna $206 - $304 131%
Evolutions Healthcare $207 132%
Tyson Foods $209 133%
Access Health Services, Llc $217 138%
Parker Hannifin $228 - $266 145%
Healthlink $238 152%
Home State Exchange $238 152%
Us Department Of Labor $238 152%
W W Wood $238 152%
First Health $247 157%
Blue Traditional $281 - $294 179%
Coventry Wc $304 194%
Municipal Health $304 194%
Multiplan $331 211%
Phcs $331 211%
Compresults Wc $342 218%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals