CMS Price Transparency Data
Screening mammogram (both breasts)
Facility: Mercy Hospital Ardmore, Inc
Billing Code: 77067 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77067
- Insurance Median: $253
- Cash Discount Price: $316
- vs. Medicare Baseline: 2.00x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Mercy Hospital Ardmore, Inc is $253. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $316. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 2.00x the Medicare baseline. Located in 1011 14Th Ave Nw, Ardmore, OK.
Cash / Self-Pay
$316
Average discount available for prompt cash payment at this facility.
Insurance Median
$253
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: $316 (250%)
Insurance Median: $253 (200%)
Cash: $316 (250% of Medicare)
Ins. Median: $253 (200% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 200% of the Medicare baseline (a markup of 100%). 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.
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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 | $77 - $371 | 61% |
| Humana | $77 - $402 | 61% |
| Medicaid / KanCare | $77 - $108 | 61% |
| Blue Cross Blue Shield | $78 | 62% |
| Cherokee Nation Health Serv Contracted [320066] | $78 | 62% |
| Cross Timbers Hospice [20098] | $78 | 62% |
| Dept Of Veteran Affairs Contracted [320106] | $78 | 62% |
| Elara Caring Aspire Hospice Contracted [320433] | $78 | 62% |
| Elara Caring Aspire Hospice [20433] | $78 | 62% |
| Halo Hcr Inc Hospice Contracted [320432] | $78 | 62% |
| Halo Hcr Inc Hospice [20432] | $78 | 62% |
| Independent Health [20197] | $78 | 62% |
| Indian Health Service Contracted [320198] | $78 | 62% |
| Kindful Hospice Contracted [320434] | $78 | 62% |
| Kindful Hospice [20434] | $78 | 62% |
| Medical Associates Health [20444] | $78 | 62% |
| Medicare (plans) | $78 - $583 | 62% |
| Mercy Hospice Okc [20252] | $78 | 62% |
| Provider Partners Health Plans Contracted [320450] | $78 | 62% |
| Qual Choice Contracted [320325] | $78 | 62% |
| Tribute Health Plan Mcr Contracted [320338] | $78 | 62% |
| Tricare | $78 | 62% |
| UnitedHealthcare | $78 - $172 | 62% |
| Globalhealth Contracted [320145] | $80 | 63% |
| Cigna | $81 - $354 | 64% |
| Ambetter / Centene | $108 | 86% |
| Home State Health Plan Contracted [320187] | $108 | 86% |
| Novasys Contracted [320285] | $108 | 86% |
| Community Care Contracted [320080] | $120 - $408 | 95% |
| Medica Contracted [320239] | $149 - $583 | 118% |
| Healthcare Highways Plus Contracted [320175] | $152 - $350 | 120% |
| Webtpa Contracted [320417] | $163 - $245 | 129% |
| United Medical Resources Contracted [320454] | $172 - $379 | 136% |
| Osma Health Contracted [320292] | $175 - $262 | 139% |
| Healthsmart Preferred Care Contracted [320184] | $176 - $379 | 139% |
| Kempton Contracted [320214] | $176 | 139% |
| Health Choice Contracted [320166] | $225 | 178% |
| Aither Health Contracted [320449] | $233 - $350 | 185% |
| Auxiant Contracted [320462] | $233 - $379 | 185% |
| Benefit Management Contracted [320052] | $233 - $379 | 185% |
| Ebms Contracted [320493] | $233 - $350 | 185% |
| Healthlink Contracted [320179] | $233 - $379 | 185% |
| Imagine 360 Contracted [320494] | $233 - $350 | 185% |
| Mercy Benefit Admin Contracted [320251] | $233 - $379 | 185% |
| Quik Trip Contracted [320447] | $233 - $350 | 185% |
| Reflect Health Contracted [320492] | $233 - $350 | 185% |
| Show-Me Health Administrators Contracted [320483] | $233 - $350 | 185% |
| Yuzu Health Contracted [320521] | $233 - $350 | 185% |
| Federal Medical Center Contracted [320127] | $253 - $379 | 200% |
| Healthscope Contracted [320182] | $253 - $379 | 200% |
| Healthsmart Accel Contracted [320183] | $253 - $379 | 200% |
| Point C Contracted [320238] | $253 - $379 | 200% |
| Preferred Health Plan Contracted [320522] | $253 - $379 | 200% |
| Tri State Healthcare Coalition Contracted [320379] | $253 - $379 | 200% |
| First Health Contracted [320128] | $259 - $388 | 205% |
| Globalhealth Contracted [320144] | $265 - $396 | 210% |
| Workers Comp [20426] | $265 | 210% |
| Private Health Care Systems Contracted [320320] | $292 - $466 | 231% |
| Preferred Community Choice Contracted [320311] | $296 - $443 | 234% |
| Multiplan Contracted [320270] | $311 - $525 | 246% |