CMS Price Transparency Data
Diagnostic mammogram (both breasts)
Facility: Mercy Hospital Logan County
Billing Code: 77066 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77066
- Insurance Median: $275
- Cash Discount Price: $298
- vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Mercy Hospital Logan County is $275. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $298. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.75x the Medicare baseline. Located in 200 S Academy Rd, Guthrie, OK.
Cash / Self-Pay
$298
Average discount available for prompt cash payment at this facility.
Insurance Median
$275
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: $298 (190%)
Insurance Median: $275 (175%)
Cash: $298 (190% of Medicare)
Ins. Median: $275 (175% 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 |
|---|---|---|
| Aetna | $93 - $269 | 59% |
| Humana | $93 - $366 | 59% |
| Medicaid / KanCare | $93 - $137 | 59% |
| Tricare | $114 | 73% |
| Blue Cross Blue Shield | $117 - $220 | 75% |
| Cherokee Nation Health Serv Contracted [320066] | $117 | 75% |
| Cross Timbers Hospice [20098] | $117 | 75% |
| Dept Of Veteran Affairs Contracted [320106] | $117 | 75% |
| Elara Caring Aspire Hospice Contracted [320433] | $117 | 75% |
| Elara Caring Aspire Hospice [20433] | $117 | 75% |
| Halo Hcr Inc Hospice Contracted [320432] | $117 | 75% |
| Halo Hcr Inc Hospice [20432] | $117 | 75% |
| Independent Health [20197] | $117 | 75% |
| Indian Health Service Contracted [320198] | $117 | 75% |
| Kindful Hospice Contracted [320434] | $117 | 75% |
| Kindful Hospice [20434] | $117 | 75% |
| Medical Associates Health [20444] | $117 | 75% |
| Medicare (plans) | $117 - $229 | 75% |
| Mercy Hospice Okc [20252] | $117 | 75% |
| Provider Partners Health Plans Contracted [320450] | $117 | 75% |
| Qual Choice Contracted [320325] | $117 | 75% |
| Tribute Health Plan Mcr Contracted [320338] | $117 | 75% |
| UnitedHealthcare | $117 - $321 | 75% |
| Globalhealth Contracted [320145] | $119 | 76% |
| Cigna | $120 - $389 | 76% |
| Ambetter / Centene | $137 | 87% |
| Home State Health Plan Contracted [320187] | $137 | 87% |
| Novasys Contracted [320285] | $137 | 87% |
| Webtpa Contracted [320417] | $192 | 122% |
| Medica Contracted [320239] | $229 | 146% |
| Aither Health Contracted [320449] | $275 - $389 | 175% |
| Auxiant Contracted [320462] | $275 - $389 | 175% |
| Federal Medical Center Contracted [320127] | $275 | 175% |
| Healthlink Contracted [320179] | $275 - $389 | 175% |
| Healthscope Contracted [320182] | $275 | 175% |
| Mercy Benefit Admin Contracted [320251] | $275 - $389 | 175% |
| Point C Contracted [320238] | $275 | 175% |
| Preferred Health Plan Contracted [320522] | $275 | 175% |
| Quik Trip Contracted [320447] | $275 | 175% |
| Show-Me Health Administrators Contracted [320483] | $275 | 175% |
| United Medical Resources Contracted [320454] | $275 - $321 | 175% |
| Health Choice Contracted [320166] | $278 | 177% |
| Community Care Contracted [320080] | $321 | 204% |
| Osma Health Contracted [320292] | $321 | 204% |
| United Behavioral Health Contracted [320390] | $321 | 204% |
| Benefit Management Contracted [320052] | $344 - $412 | 219% |
| Globalhealth Contracted [320144] | $344 | 219% |
| Healthcare Highways Plus Contracted [320175] | $344 | 219% |
| Private Health Care Systems Contracted [320320] | $344 - $366 | 219% |
| First Health Contracted [320128] | $358 | 228% |
| Multiplan Contracted [320270] | $366 - $412 | 233% |
| Ebms Contracted [320493] | $389 | 248% |
| Imagine 360 Contracted [320494] | $389 | 248% |
| Preferred Community Choice Contracted [320311] | $389 | 248% |
| Reflect Health Contracted [320492] | $389 | 248% |
| Yuzu Health Contracted [320521] | $389 | 248% |