Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Mamm Diagnostic Unilat Lt W Cad
Ozark, MO
See all hospitals reporting CPT 77065 →Price type
Mercy Hospital Springfield’s median price of $217 is 32% above the median hospital's median price ($165), higher than 64% of the 2,433 hospitals reporting CPT 77065. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 37 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 2 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 3 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 4 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 5 | Aetna hb sprg medicare facility · fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 6 | Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 7 | Cigna hb sprg medicare facility · fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 8 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 9 | Humana hb sprg humana medicare 100% facility · fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 10 | Medica hb sprg medicare facility · fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 11 | Medicare hb sprg medicare facility · fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 12 | Tricare hb sprg tricare facility · fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 13 | UnitedHealthcare hb sprg medicare facility · fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 14 | UnitedHealthcare hb sprg uhc mcr 100% facility · fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 15 | WellCare hb sprg & lebn wellcare mcr 103% facility · fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 16 | Medicaid hb sprg mo medicaid facility · fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 17 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 18 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 19 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 20 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 21 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 22 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · fee schedule · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 23 | UnitedHealthcare hb sprg uhc mo medicaid facility · fee schedule · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 24 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
| 25 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
Last updated: Jun 4, 2026
See Diagnostic mammogram of one breast pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.