Diagnostic mammogram (both breasts)
Facility: Wesley Medical Center
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $150
- Cash Discount Price: $793
- vs. Medicare Baseline: 0.96x 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 |
|---|---|---|
| UnitedHealthcare | $60 | 38% |
| Aetna | $62 - $315 | 39% |
| Amerigroup | $62 | 39% |
| Medicaid / KanCare | $62 | 39% |
| Triwest Health Alliance | $98 | 62% |
| Humana | $100 | 64% |
| Coventry Health Care | $100 | 64% |
| Devoted Health | $100 | 64% |
| United | $102 - $357 | 65% |
| Ambetter / Centene | $105 - $143 | 67% |
| Blue Cross Blue Shield | $115 | 73% |
| Health Partners Of Kansas | $137 - $396 | 87% |
| Wppa | $138 | 88% |
| Medical Associates Health Plan | $150 | 96% |
| Correct Care Solutions | $150 | 96% |
| Preferred Health Choices | $150 | 96% |
| First Health | $187 - $366 | 119% |
| Multiplan | $195 - $714 | 124% |
| Spirit Aerosystems | $254 | 162% |
| Triwest Healthcare Alliance | $515 | 328% |
| Usa Managed Care | $674 | 429% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram (both breasts) at Wesley Medical Center in Wichita, KS, the cash price is $793.00, which matches the facility's cash median. This rate is significantly higher than the state average for this procedure, as indicated by a ratio of 1.0 compared to the Medicare benchmark of $156.98. While commercial insurance plans like UnitedHealthcare and Amerigroup have negotiated rates starting at $60, many other payers, including Multiplan and First Health, have negotiated rates ranging from $187 to $714. Patients with high-deductible plans may find the cash price of $793.00 more affordable than the negotiated rates charged by certain insurers, provided they have not yet met their deductible. It is important to verify your specific plan's allowed amount before scheduling, as in-network rates vary widely across different carriers.
To ensure you receive the most accurate pricing, always request an itemized billing audit before finalizing payment, as summary bills often obscure individual code costs and potential errors. If you choose to pay out-of-pocket, ask the billing department about prompt-pay discounts, which can reduce the total cost by 20% to 50% if settled within 30 days. Additionally, be aware that while the No Surprises Act protects patients from balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, unexpected charges can still occur for ancillary services. For this procedure, the facility's negotiated rate of $150.00 serves as a reference point, but individual plan allowances may differ, so confirming your specific coverage details with the hospital is essential.