Screening mammogram (both breasts)
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $82
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.65x 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 |
|---|---|---|
| Via Christi Research | $81 | 64% |
| Va | $81 | 64% |
| Vc Hope | $81 | 64% |
| Humana | $81 | 64% |
| Saint Lukes Health Systems | $81 | 64% |
| Medicare (plans) | $81 - $83 | 64% |
| Blue Cross Blue Shield | $83 | 66% |
| UnitedHealthcare | $83 - $227 | 66% |
| Corizon | $101 | 80% |
| Smarthealth | $113 | 90% |
| Medicaid / KanCare | $138 | 109% |
| Aetna | $321 | 254% |
Consumer Guidance & Cost Commentary
For the screening mammogram (both breasts) at Ascension Via Christi Hospitals Wichita, Inc., the negotiated rates range from $81 to $321 depending on the insurance carrier. The median negotiated rate across all payers is $82.00, which is significantly lower than the highest negotiated rate of $321.00 seen with Aetna. While the facility's negotiated rates are generally competitive, patients should be aware that cash-pay options are not listed in this report. In cases where a patient has a high deductible or no insurance, paying the cash price directly can sometimes be cheaper than the insurance negotiated rate, provided the facility offers a self-pay or prompt-pay discount. It is essential to contact the hospital directly before scheduling to confirm if a self-pay classification is available and to request any prompt-pay discounts that may reduce the final out-of-pocket cost.
This service is benchmarked against the Medicare rate of $126.25, which serves as a federal cost baseline for healthcare delivery. The data indicates a variance of 0.6 when comparing the facility's pricing metrics to Medicare standards. While the facility is located in Wichita, KS (Zip 67214), the provided data does not include specific state or county average figures for comparison. Patients should note that Medicare rates represent the true cost of care based on provider cost reports, whereas commercial rates often include administrative overhead. To ensure transparency, patients are encouraged to request an itemized bill if they receive a summary invoice, as this allows for the identification of any unbundled codes or services not rendered. Additionally, under the No Surprises Act, patients are protected from balance billing for out-of-network providers at in-network facilities,