Diagnostic mammogram (both breasts)
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $323
- Cash Discount Price: $236
- vs. Medicare Baseline: 2.06x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 206% of the Medicare baseline (a markup of 106%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Oscar Exchange [6080] | $275 | 175% |
| Healthcare Highways [2210] | $323 | 206% |
| Hooray Health [8000] | $323 | 206% |
| Web Tpa [2115] | $323 | 206% |
| Aetna | $323 | 206% |
| Black Lung [6055] | $323 | 206% |
| Blue Cross Blue Shield | $323 | 206% |
| Lucent Health [6000] | $323 | 206% |
| Oncology Patient Assistance Programs [2295] | $323 | 206% |
| Department Of Corrections [1340] | $394 - $1,023 | 251% |
| American Postal Workers Union [1070] | $455 | 290% |
| Healthpartners [1500] | $455 | 290% |
| National Association Of Letter Carriers [1695] | $455 | 290% |
| Cigna | $455 | 290% |
| Humana | $464 | 296% |
| First Health [1375] | $612 | 390% |
| Multiplan [1680] | $612 | 390% |
| American Healthcare [1055] | $612 | 390% |
| Administrative Concepts [1005] | $612 | 390% |
| Coventry Healthcare [1320] | $645 | 411% |
| Ks Disability Determination [6090] | $787 | 501% |
Consumer Guidance & Cost Commentary
This diagnostic mammogram service at the University of Kansas Health System - St Francis Campus in Topeka, KS, has a gross charge of $787.00, with a cash median price of $236.00. While many major payers, including Aetna, Blue Cross Blue Shield, and Humana, have negotiated rates of $323.00, the cash price is significantly lower. For patients with high-deductible plans or those without insurance, paying the cash median of $236.00 upfront may result in substantial savings compared to the negotiated rate of $323.00, as the insurance process often involves deductibles and copays that can exceed the cash amount. It is advisable to contact the hospital directly to confirm "self-pay" or "prompt-pay" discounts, which can further reduce the final cost if settled in full before or shortly after the service.
The facility's pricing structure reflects standard commercial billing dynamics where negotiated rates often exceed cash prices due to administrative overhead and contract structures. Although the facility is a voluntary non-profit church-owned entity, the data shows a wide range of negotiated amounts, with the Department of Corrections having a range from $394.00 to $1,023.00. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, it does not automatically guarantee the lowest possible price; therefore, verifying the specific allowed amount for your plan is essential. Additionally, if you receive an itemized bill, ensure it breaks down every CPT code to avoid paying for services that were not rendered or unbundled components, and always dispute