Screening mammogram (both breasts)
Facility: University Of Kansas Hospital
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $293
- Cash Discount Price: $93
- vs. Medicare Baseline: 2.32x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 232% of the Medicare baseline (a markup of 132%). 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 |
|---|---|---|
| Larned State Hospital [503200090] | $103 - $172 | 82% |
| Hchsync Centrus Health Direct [503999916] | $105 - $204 | 83% |
| Health Plan Inc [503999941] | $164 - $274 | 130% |
| Humana | $175 - $292 | 139% |
| Tricare | $175 - $292 | 139% |
| Accarent Health [503999034] | $175 - $292 | 139% |
| Alt Carelon Behavioral Health [503200905] | $175 - $292 | 139% |
| Allied National [503999937] | $210 - $350 | 166% |
| Php [503200005] | $210 - $431 | 166% |
| Cerner [503200038] | $212 - $353 | 168% |
| Healthlink [503200007] | $212 - $431 | 168% |
| Geha [503200036] | $212 - $353 | 168% |
| Med-Pay [503200040] | $212 - $353 | 168% |
| Alt Wppa [5032000964] | $212 - $353 | 168% |
| Inter-Americas Insurance [503999032] | $212 - $353 | 168% |
| Aha-Healthcare Preferred [503200050] | $231 - $384 | 183% |
| First Health [5032000110] | $231 - $384 | 183% |
| Blue Cross Blue Shield | $242 - $447 | 192% |
| Correct Care Solutions [50311253] | $245 - $408 | 194% |
| Ascension Living Hope [503201517] | $245 - $408 | 194% |
| Consolidated Billing [50311256] | $245 - $408 | 194% |
| Coeur Plan Services [503301517] | $245 - $408 | 194% |
| Orscheln Industries [503201608] | $262 - $437 | 208% |
| Empire Plan/Nyship [503200705] | $269 - $447 | 213% |
| Alt Lineco [5032000976] | $269 - $447 | 213% |
| Alt Lucent Health Solutions [503202603] | $269 - $447 | 213% |
| Quiktrip [5032000412] | $280 - $466 | 222% |
| Triwest [503201703] | $280 - $466 | 222% |
| Cigna | $280 - $466 | 222% |
| Point Comfort Underwriters [503200018] | $280 - $466 | 222% |
| Century Health Solutions [503200054] | $280 - $466 | 222% |
| Meritain Health [503200039] | $294 - $490 | 233% |
| Wppa [503200056] | $294 - $490 | 233% |
| Usa Managed Care [503999030] | $315 - $525 | 250% |
| Employers Health Network [503999025] | $315 - $525 | 250% |
| Sanford Health Plan [503999027] | $315 - $525 | 250% |
| Three Rivers Provider Network [503999029] | $315 - $525 | 250% |
| Plan Care America [503999026] | $315 - $525 | 250% |
| Workers Comp [503999901] | $332 - $554 | 263% |
Consumer Guidance & Cost Commentary
For a screening mammogram at the University of Kansas Hospital, the cash price is $93, which is significantly lower than the facility's negotiated rates ranging from $103 to $554 depending on the insurance plan. While the hospital is a government-owned acute care facility in Kansas City, KS, patients should note that paying out-of-pocket may be the most cost-effective option if their insurance deductible is not yet met or if their plan's negotiated rate exceeds the cash price. The facility offers a prompt-pay discount for upfront payments, which can further reduce the final bill, and patients are encouraged to explicitly request self-pay pricing before scheduling to avoid being billed the higher insurance-negotiated amount.
When comparing this service to broader benchmarks, the cash price of $93 is notably lower than the state average, and the facility's negotiated rates generally align with or exceed the Medicare benchmark of $126.25. It is important to understand that commercial insurance rates often include administrative costs and contract markups that can inflate the final price compared to the Medicare rate, which represents a more objective baseline for the true cost of care. If you receive a bill that appears higher than expected, you should request an itemized audit to verify that no services were unbundled or double-charged, as over 80% of hospital bills contain errors that can be corrected through a formal written dispute.