Screening mammogram (both breasts)
Facility: Saint John Hospital
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $104
- Cash Discount Price: $82
- vs. Medicare Baseline: 0.82x 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 $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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $72 | 57% |
| Blue Cross Blue Shield | $76 - $161 | 60% |
| Cigna | $82 | 65% |
| Tricare | $82 | 65% |
| UnitedHealthcare | $82 - $115 | 65% |
| Midland Care Connection | $82 | 65% |
| Aetna | $82 - $173 | 65% |
| Medicare (plans) | $82 | 65% |
| Kansas Superior Select | $84 | 67% |
| Celtic | $86 - $344 | 68% |
| Healthy Blue | $86 - $104 | 68% |
| Well Path | $115 | 91% |
| Corizon | $115 | 91% |
| Employer Direct Healthcare | $115 | 91% |
| Early Detection Works | $119 | 94% |
| Centurion | $123 | 97% |
| Naphcare | $128 | 101% |
| Comp Alliance Workers Comp | $147 | 116% |
| Oha Networks | $158 | 125% |
| Worker Compensation | $163 | 129% |
Consumer Guidance & Cost Commentary
For the screening mammogram (both breasts) at Saint John Hospital in Leavenworth, Kansas, the cash price is $82.00, which is significantly lower than the facility's negotiated rates with major insurers. While the facility's cash rate aligns with the state average of $82.00, insurance plans pay much higher amounts, ranging from $72 to $344 depending on the carrier. For example, Medicaid/KanCare pays $72, while Celtic pays up to $344. If you have a high-deductible plan or are self-pay, paying the $82.00 cash price upfront is likely the most cost-effective option, as it avoids the substantial administrative fees and negotiated markups embedded in insurance billing.
Patients should proactively request a "prompt-pay" discount before scheduling to potentially reduce the $82.00 cash bill further, as hospitals often offer 20% to 50% reductions for upfront payment. It is also important to avoid balance billing by ensuring your provider is in-network, as the No Surprises Act protects you from unexpected out-of-network charges for emergency care and services at in-network facilities. Finally, always demand an itemized bill before paying; since over 80% of hospital bills contain errors, reviewing the specific CPT codes can help identify unbundled charges or services not rendered, ensuring you only pay for what was actually provided.