CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Poplar Bluff Regional Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $165
  • Cash Discount Price: $73
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Poplar Bluff Regional Medical Center is $165. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.31x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$73

Average discount available for prompt cash payment at this facility.

Insurance Median
$165

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: $73 (58%)
Insurance Median: $165 (131%)
Cash: $73 (58% of Medicare)
Ins. Median: $165 (131% 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
Medicaid / KanCare $53 - $233 42%
Self Pay $64 - $76 51%
Blue Cross Blue Shield $69 - $93 55%
Medicare (plans) $77 61%
Node Champva $77 61%
Node United Behavioral Health Mcr Adv $77 61%
Tricare $77 61%
Veterans Eval Services $77 61%
Humana $78 62%
Blue Access $79 63%
Node Hospice Non Par Agree $79 63%
Node Va $79 63%
UnitedHealthcare $79 - $183 63%
Node Ahs Mcr Adv $80 63%
Node Devoted Health Mcr Adv $81 64%
Node Pphp Mcr Adv $89 70%
Centurion Correctional $98 78%
Cigna $145 - $252 115%
Evolutions Healthcare $146 - $172 116%
Tyson Foods $147 - $173 116%
Naphcare $149 118%
Access Health Services, Llc $152 - $180 120%
Parker Hannifin $160 - $220 127%
Healthlink $167 - $197 132%
First Health $174 - $205 138%
Us Department Of Labor $191 151%
Home State Exchange $197 156%
W W Wood $197 156%
Blue Traditional $198 - $243 157%
Coventry Wc $214 - $252 170%
Municipal Health $214 - $252 170%
Multiplan $232 - $274 184%
Phcs $232 - $274 184%
Compresults Wc $240 - $283 190%

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