Screening mammogram (both breasts)
Facility: Labette Health
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $152
- Cash Discount Price: $176
- vs. Medicare Baseline: 1.20x 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 |
|---|---|---|
| Uhccp | $58 | 46% |
| Montgomery County | $69 - $143 | 55% |
| Medicaid / KanCare | $94 - $169 | 74% |
| Aetna | $109 | 86% |
| Kansas Superior Select | $118 | 93% |
| Blue Cross Blue Shield | $161 - $169 | 128% |
| UnitedHealthcare | $169 - $182 | 134% |
| Wellcare | $169 | 134% |
| Humana | $169 | 134% |
| Multiplan | $178 | 141% |
| Choicecare (First Health Network) | $189 | 150% |
| Health Partners Of Kansas, Inc | $189 | 150% |
| Ambetter / Centene | $194 | 154% |
Consumer Guidance & Cost Commentary
For the screening mammogram (both breasts) at Labette Health in Parsons, KS, the facility's cash price of $176.00 is notably lower than the state average, which sits at $251.00. While the facility's negotiated rates with major payers like UnitedHealthcare and Blue Cross Blue Shield range from $169 to $182, these amounts are still higher than the cash price, illustrating that paying out-of-pocket can sometimes be more cost-effective for patients with high-deductible plans. To maximize savings, patients should explicitly request self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing the administrative costs associated with insurance claims processing.
It is important to distinguish between the facility's gross charge of $251.00 and the actual amounts billed to patients. The gross charge represents the hospital's full list price, which is significantly inflated compared to the Medicare benchmark of $126.25 and the facility's negotiated rates. Under federal protections like the No Surprises Act, patients should not be balance billed for out-of-network services at in-network facilities, but they must verify their specific plan details to avoid unexpected costs. Since the facility is a government-owned acute care hospital, patients are encouraged to review their itemized bills for any unbundled codes or services not rendered, ensuring that the final amount reflects the true cost rather than the inflated chargemaster list.