Screening mammogram (both breasts)
Facility: Wesley Medical Center
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $86
- Cash Discount Price: $355
- vs. Medicare Baseline: 0.68x 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 |
|---|---|---|
| United | $54 - $217 | 43% |
| Health Partners Of Kansas | $61 - $178 | 48% |
| Wppa | $62 | 49% |
| Ambetter / Centene | $64 - $86 | 51% |
| Medical Associates Health Plan | $67 | 53% |
| Preferred Health Choices | $67 | 53% |
| UnitedHealthcare | $72 | 57% |
| Medicaid / KanCare | $74 | 59% |
| Aetna | $75 - $315 | 59% |
| Amerigroup | $75 | 59% |
| Triwest Health Alliance | $81 | 64% |
| Coventry Health Care | $82 | 65% |
| Humana | $82 | 65% |
| Devoted Health | $82 | 65% |
| Spirit Aerosystems | $114 | 90% |
| Blue Cross Blue Shield | $115 | 91% |
| Correct Care Solutions | $123 | 97% |
| First Health | $155 - $214 | 123% |
| Multiplan | $161 - $320 | 128% |
| Triwest Healthcare Alliance | $231 | 183% |
| Usa Managed Care | $302 | 239% |
Consumer Guidance & Cost Commentary
For a screening mammogram at Wesley Medical Center in Wichita, KS, the cash price is $355.00, which matches the facility's cash median. This rate is significantly higher than the state average, as the Medicare benchmark of $126.25 serves as the objective baseline for fair pricing. While commercial negotiated rates vary widely among payers—ranging from $54 to $320—the data indicates that cash payment can sometimes be the most cost-effective option for patients with high-deductible plans, particularly when insurance negotiated rates exceed the cash price. Patients are encouraged to verify their specific plan's allowed amount before scheduling, as some in-network contracts may result in higher out-of-pocket costs than paying directly.
To minimize potential costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid upfront. This avoids the administrative overhead and delayed reimbursement cycles associated with insurance claims. Additionally, if you have insurance, ensure you check your deductible status before using it for shoppable tests, as paying the full negotiated rate before meeting your deductible can lead to unexpected financial strain. Finally, always request a detailed, itemized bill containing specific CPT codes rather than accepting a summary invoice, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.