Diagnostic mammogram (both breasts)
Facility: St. Catherine Hospital - Garden City
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $194
- Cash Discount Price: $245
- vs. Medicare Baseline: 1.24x 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 |
|---|---|---|
| Aetna | $96 - $236 | 61% |
| Humana | $96 - $112 | 61% |
| Blue Cross Blue Shield | $96 - $251 | 61% |
| Kaiser | $96 - $261 | 61% |
| UnitedHealthcare | $96 - $263 | 61% |
| Cigna | $96 - $210 | 61% |
| Medicare (plans) | $96 - $112 | 61% |
| Kansas Health | $96 | 61% |
| Innovage | $112 | 71% |
| Devoted Health | $112 | 71% |
| Centura Employee Plan | $122 | 78% |
| Direct To Employer | $134 - $378 | 85% |
| Peak Health | $179 - $369 | 114% |
| Wpaa | $197 | 125% |
| Denver Health | $223 | 142% |
| Christian Health Aid | $225 | 143% |
| Multiplan | $235 - $804 | 150% |
| United Colorado Doctor'S Plan | $263 | 168% |
| Health Partners Of Kansas | $272 | 173% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram of both breasts (CPT 77066), St. Catherine Hospital - Garden City has a gross charge of $613.00, which is significantly higher than the state average for this procedure. While the facility's cash median price is $245.00, the negotiated rates paid by insurance plans range widely, with the lowest allowed amount being $96.00 and the highest reaching $804.00. Notably, Medicare allows $156.98 for this service, and the facility's cash price is approximately 1.5 times the Medicare rate. Given that many commercial plans negotiate rates well above the cash price, patients with high-deductible plans may find paying the cash median of $245.00 upfront to be more cost-effective than relying on insurance, which could result in a higher allowed amount.
Patients should proactively request a prompt-pay discount before scheduling their appointment, as hospitals often offer immediate fee reductions for upfront payment that bypass the administrative costs associated with insurance claims. It is important to verify the specific "self-pay" or "prompt-pay" rates with the billing department, as these discounts can vary significantly from the standard cash median. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still review their itemized bill to ensure no unbundled codes or services not rendered have been charged. For this specific procedure, the facility's ownership as a voluntary non-profit church hospital may influence their pricing structure, but consumers should always compare the final allowed amount against the Medicare benchmark to understand the true cost relative to the facility's gross charges.