CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Mercy Rehabilitation Hospital St Louis

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $469
  • Cash Discount Price: $469
  • vs. Medicare Baseline: 2.99x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Mercy Rehabilitation Hospital St Louis is $469. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $469. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.99x the Medicare baseline. Located in 14561 N Outer 40 Rd, Chesterfield, MO.
Cash / Self-Pay
$469

Average discount available for prompt cash payment at this facility.

Insurance Median
$469

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: $469 (299%)
Insurance Median: $469 (299%)
Cash: $469 (299% of Medicare)
Ins. Median: $469 (299% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 299% of the Medicare baseline (a markup of 199%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $469 299%
Ambetter / Centene $469 299%
Blue Cross Blue Shield $469 299%
Cigna $469 299%
Devoted Health $469 299%
Essence $469 299%
Healthlink Hmo $469 299%
Healthlink Ppo $469 299%
Healthy Blue (Missouri Care) $469 299%
Homestate Health Plan $469 299%
Humana $469 299%
Medica $469 299%
Medicaid / KanCare $469 299%
Meritain Health Cpd $469 299%
Meritain Health Ppo Cpd $469 299%
Starmark Cpd $469 299%
Tricare $469 299%
UnitedHealthcare $469 299%
Wellcare $469 299%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14561 N Outer 40 Rd, Chesterfield, MO 63017
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL