Diagnostic mammogram (both breasts)
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $99
- Cash Discount Price: $180
- 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 |
|---|---|---|
| UnitedHealthcare | $39 - $274 | 25% |
| Aetna | $40 - $131 | 25% |
| Medicaid / KanCare | $40 - $132 | 25% |
| Providrs Care | $64 - $207 | 41% |
| Va | $98 | 62% |
| Humana | $98 - $99 | 62% |
| Medicare (plans) | $98 - $100 | 62% |
| Blue Cross Blue Shield | $133 - $140 | 85% |
| Smarthealth | $137 | 87% |
| Ambetter / Centene | $166 | 106% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram (both breasts) at Ascension Via Christi Hospital Manhattan, Inc, the facility's cash price of $180.00 is notably lower than the state average of $449.00. While commercial payers like UnitedHealthcare and Aetna negotiate rates ranging from $39 to $274 and $40 to $131 respectively, these negotiated amounts often exceed the cash price, making self-pay a potentially more affordable option for patients with high-deductible plans. The facility's cash rate is also significantly below the Medicare benchmark of $156.98 when adjusted for the 0.6 ratio provided, though the gross chargemaster of $449.00 serves as the inflated baseline from which discounts are calculated. Patients should verify if their specific plan has a deductible that would otherwise require them to pay the higher negotiated rate, as paying cash upfront could result in immediate savings.
To ensure you are receiving the most accurate pricing, it is essential to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. If you receive a surprise bill for the difference between the provider's full rate and your insurance allowed amount, you may be eligible for protection under the No Surprises Act, which bans balance billing for out-of-network services at in-network facilities. Additionally, ask the hospital about "prompt-pay" discounts, which can reduce the total cost by 20% to 50% if you settle the bill in full within 30 days, effectively bypassing the administrative costs associated with insurance claims processing. Always confirm