Screening mammogram (both breasts)
Facility: Mcpherson Hospital
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $302
- Cash Discount Price: $320
- vs. Medicare Baseline: 2.39x 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 239% of the Medicare baseline (a markup of 139%). 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 |
|---|---|---|
| UnitedHealthcare | $29 - $468 | 23% |
| Tricare | $30 - $102 | 24% |
| Aetna | $34 - $468 | 27% |
| Ambetter / Centene | $34 - $133 | 27% |
| Healthy Blue Mcr Adv | $34 - $116 | 27% |
| Blue Cross Blue Shield | $34 - $116 | 27% |
| Wellcare Mcr Adv - All Plans | $34 - $116 | 27% |
| Humana | $34 - $116 | 27% |
| Va Ccn - All Plans | $34 - $116 | 27% |
| Multiplan - All Plans | $42 - $421 | 33% |
| Medicaid / KanCare | $102 - $468 | 81% |
| Health Blue Mcaid - All Other Plans | $104 - $477 | 82% |
| Medical Associates - All Plans | $138 - $351 | 109% |
| Central Plains - All Plans | $138 - $351 | 109% |
| Cigna | $175 - $445 | 139% |
| Health Partners - All Plans | $175 - $445 | 139% |
| Wppa - All Plans | $302 - $328 | 239% |
| Christian Health Aid - All Plans | $346 - $374 | 274% |
| First Health - All Plans | $410 - $445 | 325% |
Consumer Guidance & Cost Commentary
For the screening mammogram (both breasts) at Mcpherson Hospital in Mcpherson, KS, the cash price is $320.00, which is lower than the facility's negotiated rates for most major payers. While the facility's cash rate is below the gross charge of $432.00, patients with high-deductible plans may find paying cash directly more cost-effective than using insurance, as many commercial payers negotiate rates that exceed the cash price. For instance, UnitedHealthcare and Aetna have negotiated ranges starting at $29 and $34 respectively, but their maximums reach $468, which is significantly higher than the cash option. To minimize costs, patients should explicitly ask the hospital for self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can bypass the administrative overhead and higher negotiated rates associated with insurance billing.
The facility's pricing is evaluated against a Medicare benchmark of $126.25, which serves as the objective baseline for healthcare delivery costs. The cash price of $320.00 represents a 2.4x markup relative to this Medicare rate, while the median negotiated amount across payers is $302.00. Although the facility is a voluntary non-profit acute care hospital, the wide variation in payer rates—from as low as $29 with UnitedHealthcare to $477 with Health Blue Medicaid—highlights the importance of verifying specific plan allowances. Consumers should be aware that comparing rates to the hospital's gross chargemaster is misleading; instead, comparing the cash or negotiated rate to the Medicare benchmark provides a clearer picture of the true cost. If a patient receives an itemized