Screening mammogram (both breasts)
Facility: St. Catherine Hospital - Garden City
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $165
- Cash Discount Price: $131
- vs. Medicare Baseline: 1.31x 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 |
|---|---|---|
| Kansas Health | $79 | 63% |
| Medicare (plans) | $79 - $92 | 63% |
| Aetna | $79 - $238 | 63% |
| Cigna | $79 - $210 | 63% |
| Blue Cross Blue Shield | $79 - $207 | 63% |
| Humana | $79 - $92 | 63% |
| Kaiser | $79 - $170 | 63% |
| UnitedHealthcare | $79 - $217 | 63% |
| Denver Health | $87 | 69% |
| Devoted Health | $92 | 73% |
| Innovage | $92 | 73% |
| Direct To Employer | $100 - $198 | 79% |
| Centura Employee Plan | $122 | 97% |
| Peak Health | $144 - $179 | 114% |
| Wpaa | $198 | 157% |
| United Colorado Doctor'S Plan | $217 | 172% |
| Christian Health Aid | $226 | 179% |
| Multiplan | $235 - $315 | 186% |
| Health Partners Of Kansas | $274 | 217% |
Consumer Guidance & Cost Commentary
For the screening mammogram (both breasts) at St. Catherine Hospital - Garden City, the cash median price is $131.00, which is significantly lower than the facility's gross charge of $326.00. While the facility's negotiated rates with major payers like Aetna and UnitedHealthcare range from $79 to over $200, the cash price offers a lower baseline for patients who may not have insurance or have high-deductible plans. It is important to note that commercial negotiated rates often include administrative overhead and can exceed cash prices; therefore, patients should verify their specific plan's allowed amount before scheduling. Additionally, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill if paid upfront.
This service is benchmarked against Medicare, which sets a fixed rate of $126.25 for this procedure. The facility's cash median of $131.00 is slightly higher than the Medicare amount, but lower than the gross charge, indicating a reasonable markup relative to the federal baseline. The facility is located in Garden City, KS (zip 67846) and is a voluntary non-profit church-owned acute care hospital. Given that over 80% of hospital bills contain errors, patients should request a detailed, itemized bill rather than accepting a summary invoice, and they should dispute any balance billing immediately if they receive unexpected charges from out-of-network providers, as federal protections like the No Surprises Act may apply.