Diagnostic mammogram (both breasts)
Facility: University Of Kansas Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $781
- Cash Discount Price: $228
- vs. Medicare Baseline: 4.98x 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 498% of the Medicare baseline (a markup of 398%). 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 |
|---|---|---|
| Home State Health Plan [503201507] | $307 | 196% |
| Blue Cross Blue Shield | $316 - $873 | 201% |
| Larned State Hospital [503200090] | $336 | 214% |
| Oscar [503201609] | $341 | 217% |
| Hchsync Centrus Health Direct [503999916] | $341 - $398 | 217% |
| Multiplan [503200057] | $439 | 280% |
| Claimdoc [503301509] | $439 | 280% |
| Health Plan Inc [503999941] | $535 | 341% |
| Centivo [5032000982] | $569 | 362% |
| Wellfit [503301514] | $569 | 362% |
| Occunet [503999930] | $569 | 362% |
| Alt Carelon Behavioral Health [503200905] | $569 | 362% |
| Accarent Health [503999034] | $569 | 362% |
| Tricare | $569 | 362% |
| Humana | $569 | 362% |
| Fort Hays State Student Athletes [5032000960] | $569 | 362% |
| Workers Comp [503999901] | $592 - $1,081 | 377% |
| Php [503200005] | $683 - $841 | 435% |
| Allied National [503999937] | $683 | 435% |
| Med-Pay [503200040] | $689 | 439% |
| Geha [503200036] | $689 | 439% |
| Cerner [503200038] | $689 | 439% |
| Alt Wppa [5032000964] | $689 | 439% |
| Healthlink [503200007] | $689 - $841 | 439% |
| Inter-Americas Insurance [503999032] | $689 | 439% |
| 6 Degrees Health [503999050] | $740 | 471% |
| First Health [5032000110] | $750 | 478% |
| Aha-Healthcare Preferred [503200050] | $750 | 478% |
| Gallagher Bassett [5032000103] | $773 - $797 | 492% |
| Prime Health Services [503999912] | $781 | 498% |
| Consolidated Billing [50311256] | $797 | 508% |
| Coeur Plan Services [503301517] | $797 | 508% |
| Correct Care Solutions [50311253] | $797 | 508% |
| Ascension Living Hope [503201517] | $797 | 508% |
| Alt Bnsf Railway Co [503301503] | $797 | 508% |
| Sedgwick Claims Management Services [53201618] | $797 | 508% |
| Orscheln Industries [503201608] | $854 | 544% |
| Empire Plan/Nyship [503200705] | $873 | 556% |
| Alt Lineco [5032000976] | $873 | 556% |
| Alt Lucent Health Solutions [503202603] | $873 | 556% |
| Quiktrip [5032000412] | $910 | 580% |
| Cigna | $910 | 580% |
| Point Comfort Underwriters [503200018] | $910 | 580% |
| Century Health Solutions [503200054] | $910 | 580% |
| Triwest [503201703] | $910 | 580% |
| Meritain Health [503200039] | $956 | 609% |
| Wppa [503200056] | $956 | 609% |
| Usa Managed Care [503999030] | $1,024 | 652% |
| Three Rivers Provider Network [503999029] | $1,024 | 652% |
| Employers Health Network [503999025] | $1,024 | 652% |
| Plan Care America [503999026] | $1,024 | 652% |
| Sanford Health Plan [503999027] | $1,024 | 652% |
Consumer Guidance & Cost Commentary
For a diagnostic mammogram (both breasts) at the University of Kansas Hospital, the cash price is $228, which is significantly lower than the facility's gross charge of $1,138. While the hospital's negotiated rates with insurance payers range from $307 to $1,081, the cash price remains the lowest option available. Patients with high-deductible plans should consider paying out-of-pocket at the cash rate of $228, as this avoids the administrative markups and higher negotiated rates often charged to insured members. It is important to verify your specific plan's deductible status before scheduling, as paying the full negotiated amount may be required if your deductible has not yet been met.
The facility's pricing aligns closely with state and county benchmarks, with a median negotiated rate of $781 and a median paid amount of $642 across 52 payers. The Medicare benchmark for this service is $156.98, indicating that the cash price of $228 is approximately 145% of the Medicare rate, which falls within the typical range for fair pricing. If you receive a bill exceeding these amounts, you should request an itemized audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies. Additionally, if you are billed for out-of-network services at this in-network facility, you may be entitled to protections under the No Surprises Act, which prohibits balance billing for emergency and non-emergency care.