Diagnostic mammogram (both breasts)
Facility: Providence Medical Center
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $129
- Cash Discount Price: $99
- vs. Medicare Baseline: 0.82x 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 |
|---|---|---|
| Medicaid / KanCare | $60 | 38% |
| Aetna | $77 - $209 | 49% |
| Midland Care Connection | $100 | 64% |
| Tricare | $100 | 64% |
| Medicare (plans) | $100 | 64% |
| UnitedHealthcare | $100 - $193 | 64% |
| Blue Cross Blue Shield | $100 - $235 | 64% |
| Cigna | $100 | 64% |
| Celtic | $105 - $159 | 67% |
| Kansas Superior Select | $105 | 67% |
| Healthy Blue | $105 - $128 | 67% |
| Corizon | $130 | 83% |
| Employer Direct Healthcare | $140 | 89% |
| Well Path Prison | $140 | 89% |
| Early Detection Works | $147 | 94% |
| Centurion | $150 | 96% |
| Naphcare | $154 | 98% |
| Comp Alliance - Fka Compresults Worker Compensation | $178 | 113% |
| Oha Networks | $191 | 122% |
| Worker Compensation | $197 | 125% |
| First Health | $750 | 478% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram of both breasts at Providence Medical Center in Kansas City, KS, the facility's cash price of $99.00 is significantly lower than the state average of $156.98 and the Medicare benchmark of $156.98. While many commercial payers negotiate rates ranging from $60 to $235, the cash rate of $99.00 represents a substantial discount compared to the median negotiated amount of $129.00. Patients with high-deductible plans or those who have already met their out-of-pocket maximum may find paying the cash price directly more cost-effective than relying on insurance, as the negotiated rates for some carriers exceed the cash rate. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can further reduce the final cost.
Although the No Surprises Act generally protects patients from balance billing for out-of-network services at in-network facilities, it is important to review any itemized billing statements carefully to ensure no unexpected ancillary charges are included. If a patient receives a summary bill, they should request a full, line-by-line itemized statement to identify potential errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain inaccuracies. Disputing errors should be done in writing to the billing supervisor rather than relying on verbal assurances, and patients should avoid signing consent waivers that might inadvertently waive their rights regarding surprise billing protections. By understanding the difference between the facility's gross charges, the Medicare benchmark, and the actual negotiated rates, consumers can make informed decisions about their healthcare spending.