Diagnostic mammogram (both breasts)
Facility: Southwest Medical Center
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $228
- Cash Discount Price: $247
- vs. Medicare Baseline: 1.45x 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 |
|---|---|---|
| Wppa | $59 - $624 | 38% |
| Health_Choice | $59 - $624 | 38% |
| Aetna | $68 - $714 | 43% |
| Multiplan_Phcs_Primary_Network | $72 - $758 | 46% |
| United_Healthcare_Commercial | $74 - $776 | 47% |
| Omni_Network | $76 - $803 | 48% |
| Multiplan_Phcs_Auto | $76 - $803 | 48% |
| National_Beef_Packing | $76 - $803 | 48% |
| Multiplan_Phcs_Complementary_Network | $79 - $830 | 50% |
Consumer Guidance & Cost Commentary
For this diagnostic mammogram at Southwest Medical Center in Liberal, Kansas, the most significant pricing benchmark is the Medicare rate of $156.98, which serves as the federal baseline for this service. The facility's cash median price of $247 exceeds the Medicare amount by approximately 57%, reflecting the standard administrative markup found in commercial billing. While the facility's gross charge is listed at $309, the actual negotiated rates for commercial payers range significantly lower, with the lowest negotiated rate being $59 and the highest at $830 across nine different insurance plans.
Patients should be aware that the negotiated rates charged by insurance carriers often exceed the cash price, particularly for those with high-deductible plans where out-of-pocket costs might otherwise be substantial. In this scenario, paying the cash median of $247 directly could result in lower total costs compared to using an in-network plan where the allowed amount is $228 or higher, depending on the specific carrier. To maximize savings, it is recommended to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can further reduce the final bill. Additionally, since the facility is a government-owned acute care hospital, patients should verify their specific plan details to ensure they are utilizing the most favorable negotiated rate available rather than assuming the highest allowed amount represents the best price.