Diagnostic mammogram (both breasts)
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $99
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.63x 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 |
|---|---|---|
| Vc Hope | $98 | 62% |
| Va | $98 | 62% |
| Via Christi Research | $98 | 62% |
| Humana | $98 | 62% |
| Medicare (plans) | $98 - $100 | 62% |
| Saint Lukes Health Systems | $98 | 62% |
| UnitedHealthcare | $100 - $274 | 64% |
| Blue Cross Blue Shield | $100 | 64% |
| Corizon | $122 | 78% |
| Smarthealth | $137 | 87% |
| Medicaid / KanCare | $166 | 106% |
| Aetna | $387 | 247% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram (both breasts) at Ascension Via Christi Hospitals Wichita, Inc., the facility's negotiated rates range from $98 to $387 depending on the insurance carrier, with a median negotiated amount of $99.00. This price point is notably lower than the highest commercial rates observed in the data, such as Aetna's $387, but aligns closely with the lowest tiered payers like Vc Hope and Va at $98. While the facility's cash median and median paid amounts are not currently disclosed, patients with high-deductible plans should consider that paying cash upfront could potentially result in a lower total cost if the insurance negotiated rate exceeds the cash price. It is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can offer significant fee reductions for those choosing to settle the bill immediately.
Pricing transparency for this service is anchored by a Medicare benchmark of $156.98, which serves as an objective baseline for evaluating the facility's markup. Commercial negotiated rates generally fall within the range of 120% to 300% of the Medicare amount, reflecting the administrative costs and contract dynamics inherent in insurance billing. For instance, UnitedHealthcare's range of $100 to $274 and Corizon's fixed rate of $122 both exceed the Medicare benchmark, illustrating how different payer contracts influence final costs. Patients should be aware that balance billing is largely prohibited for emergency and non-emergency services at in-network facilities under the No Surprises Act, meaning they should not expect to be billed for the difference between the chargemaster and the allowed amount for