CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Merit Health Women's Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $107
  • Cash Discount Price: $307
  • vs. Medicare Baseline: 0.85x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Merit Health Women's Hospital is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $307. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.85x the Medicare baseline. Located in 1026 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$307

Average discount available for prompt cash payment at this facility.

Insurance Median
$107

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: $307 (243%)
Insurance Median: $107 (85%)
Cash: $307 (243% of Medicare)
Ins. Median: $107 (85% 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
Cigna $17 - $375 13%
Self Pay $17 - $378 13%
UnitedHealthcare $23 - $490 18%
Trimed Billing Solutions $24 - $516 19%
State Hospital $30 - $653 24%
First Choice Mpcn $36 - $774 29%
First Choice Standard $37 - $791 29%
Coventry First Health $41 - $894 32%
First Choice Ppo Plus $44 - $945 35%
Benefit Management Systems $57 - $1,461 45%
First Choice Stratose $64 - $1,375 51%
Health Choice Of Mississippi $64 - $1,375 51%
Prime Health Services $64 - $1,375 51%
Tricare $64 - $72 51%
Aetna $65 - $79 51%
Magnolia Mcd Ms Chip $69 55%
Medicaid / KanCare $69 - $262 55%
Caresource Truecare $70 55%
Molina Chip $74 59%
Node Champva $76 60%
Veterans Eval Services $76 60%
Humana $77 61%
Medicare (plans) $77 61%
Node Shared Health Of Ms Mcr Adv $77 61%
Node Vantage Health Mcr Adv $77 61%
Node Windsor Mcr Adv $77 61%
Node Devoted Health Mcr Adv $78 62%
Node First Choice American Health Of Ms Mcr Adv $78 62%
Node Molina Mcr Adv $78 62%
Node Va $78 62%
Advanced Health Systems $79 - $91 63%
Blue Cross Blue Shield $79 - $107 63%
Mississippi Department Of Rehabilitation Services $79 - $1,719 63%
Molina Exchange $79 - $142 63%
Ms Work Comp $79 - $175 63%
Node First Choice Seven Corners $79 - $133 63%
Node First Choice Wellcare Mcr Adv $80 63%
Node Healthy Mississippi Mcr Adv $86 68%
Node Us Dept Of Labor $99 - $190 78%
First Choice Preferred $118 93%
Occunet $118 93%
Magnolia Exchange $137 109%
First Choice Lgp $171 135%
Vantage Health $177 140%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1026 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals