CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Merit Health Central

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $95
  • Cash Discount Price: $139
  • vs. Medicare Baseline: 0.61x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Merit Health Central is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $139. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.61x the Medicare baseline. Located in 1850 Chadwick Dr, Jackson, MS.
Cash / Self-Pay
$139

Average discount available for prompt cash payment at this facility.

Insurance Median
$95

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: $139 (89%)
Insurance Median: $95 (61%)
Cash: $139 (89% of Medicare)
Ins. Median: $95 (61% 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
Cigna $19 - $326 12%
UnitedHealthcare $20 - $351 13%
Self Pay $24 - $414 15%
Trimed Billing Solutions $29 - $497 18%
Ms State Hospital Of Whitfield $36 - $630 23%
First Choice Ppo Plus $43 - $746 27%
First Choice Standard $44 - $762 28%
First Choice Mpcn Standard $53 - $911 34%
Hinds County Prisoners $53 - $911 34%
Aetna $65 - $96 41%
Benefit Management Systems $69 - $1,408 44%
Citizens State Bank Inc $69 - $1,408 44%
First Choice Stratose $77 - $1,326 49%
Prime Health Services $77 - $1,326 49%
Tricare $77 - $88 49%
American Health Group $81 - $1,408 52%
Beech Street $81 - $1,408 52%
Medicaid / KanCare $83 - $253 53%
Magnolia Mcd Ms Chip $84 54%
Caresource Truecare $85 54%
One Health Plan $86 - $1,491 55%
Molina Chip $90 57%
Node Champva $92 59%
Veterans Eval Services $92 59%
Humana $94 60%
Medicare (plans) $94 60%
Node First Choice Shared Health Of Ms Mcr Adv $94 60%
Node Vantage Health Mcr Adv $94 60%
Molina $95 61%
Node Devoted Health Mcr Adv $95 61%
Node First Choice American Health Of Ms Mcr Adv $95 61%
Node Hospice Non Par Agree $95 61%
Node Magnolia Mcr Adv $95 61%
Node Va $95 61%
Advanced Health Systems $96 - $110 61%
Blue Cross Blue Shield $96 - $130 61%
Molina Exchange $96 - $172 61%
Ms Dept Of Rehabilitation Services $96 - $1,657 61%
Seven Corners $96 - $162 61%
Node First Choice Wellcare Mcr Adv $97 62%
Node Healthy Mississippi Mcr Adv $105 67%
Node Us Dept Of Labor $120 - $235 76%
First Choice Preferred $143 91%
Occunet $143 91%
Magnolia Exchange $166 106%
Prime Work Comp $206 131%
First Choice Lgp $207 132%
Ms Work Comp $212 135%
Vantage Health Commercial $214 136%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1850 Chadwick Dr, Jackson, MS 39204
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals