Screening mammogram (both breasts)
Facility: Southwest Medical Center
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $199
- Cash Discount Price: $200
- vs. Medicare Baseline: 1.58x 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 |
|---|---|---|
| Wppa | $59 - $275 | 47% |
| Health_Choice | $59 - $275 | 47% |
| Aetna | $68 - $314 | 54% |
| Multiplan_Phcs_Primary_Network | $72 - $334 | 57% |
| United_Healthcare_Commercial | $74 - $341 | 59% |
| National_Beef_Packing | $76 - $353 | 60% |
| Multiplan_Phcs_Auto | $76 - $353 | 60% |
| Omni_Network | $76 - $353 | 60% |
| Multiplan_Phcs_Complementary_Network | $79 - $365 | 63% |
Consumer Guidance & Cost Commentary
For this screening mammogram procedure at Southwest Medical Center in Liberal, KS, the cash payment rate of $200 is notably lower than the facility's gross charge of $250, representing a significant discount for patients paying out-of-pocket. While the facility operates under government-local ownership, the cash price remains competitive against the commercial landscape, where insurance negotiated rates for similar services often range from $59 to $365 across various payers. This pricing structure highlights that for patients with high-deductible plans or those without insurance, paying the full cash price of $200 may be more cost-effective than relying on insurance, which could result in higher allowed amounts or balance billing if out-of-network components are involved.
Patients should verify if the facility offers additional "self-pay" or "prompt-pay" discounts, as these upfront payment incentives can further reduce the final bill by bypassing costly claims processing and administrative overhead. Although the median negotiated rate is $199, which is nearly identical to the cash price, the presence of multiple payer plans with varying allowed amounts suggests that individual plan coverage could still lead to unexpected costs if not carefully reviewed. To avoid balance billing or errors, consumers are advised to request a detailed itemized bill before paying and to dispute any charges that do not align with the listed rates, ensuring they are only billed for services rendered at the agreed-upon price.