Diagnostic mammogram (both breasts)
Facility: Saint John Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $125
- Cash Discount Price: $99
- vs. Medicare Baseline: 0.80x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $59 - $123 | 38% |
| Medicaid / KanCare | $60 | 38% |
| Medicare (plans) | $100 | 64% |
| Tricare | $100 | 64% |
| Cigna | $100 | 64% |
| Midland Care Connection | $100 | 64% |
| Aetna | $100 - $209 | 64% |
| UnitedHealthcare | $100 - $140 | 64% |
| Kansas Superior Select | $102 | 65% |
| Celtic | $105 - $377 | 67% |
| Healthy Blue | $105 - $128 | 67% |
| Employer Direct Healthcare | $140 | 89% |
| Well Path | $140 | 89% |
| Corizon | $140 | 89% |
| Early Detection Works | $147 | 94% |
| Centurion | $150 | 96% |
| Naphcare | $154 | 98% |
| Comp Alliance Workers Comp | $178 | 113% |
| Oha Networks | $191 | 122% |
| Worker Compensation | $197 | 125% |
Consumer Guidance & Cost Commentary
For a diagnostic mammogram at Saint John Hospital in Leavenworth, KS, the cash price of $99.00 is significantly lower than the facility's negotiated rates with most insurance plans, which range from $59 to $377. While the facility's cash rate is slightly below the state average of $100.00, patients with high-deductible plans may find paying out-of-pocket the most cost-effective option, as many insurance negotiated rates exceed the cash price. It is important to note that while the facility is an in-network Acute Care Hospital, the No Surprises Act generally protects patients from balance billing for emergency services at in-network facilities, though unexpected charges can still occur for out-of-network ancillary services like certain lab tests or physician fees.
To minimize costs, patients should proactively request a "self-pay" or "prompt-pay" discount before scheduling, as these upfront payment incentives can reduce the bill by 20% to 50%. If you choose to use insurance, be aware that the allowed amount varies widely by payer, with some plans paying as little as $59 while others pay up to $377 for this service. Additionally, the facility's negotiated rate of $125.00 is higher than the Medicare benchmark of $156.98, which serves as the objective baseline for fair pricing; however, commercial rates often include administrative overhead that pushes them above the true cost of care. Always verify your specific deductible status and request an itemized bill to ensure you are not being charged for services not rendered or unbundled components.