Screening mammogram (both breasts)
Facility: Providence Medical Center
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $106
- Cash Discount Price: $82
- vs. Medicare Baseline: 0.84x 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 |
|---|---|---|
| Medicaid / KanCare | $72 | 57% |
| Aetna | $75 - $173 | 59% |
| UnitedHealthcare | $82 - $159 | 65% |
| Medicare (plans) | $82 | 65% |
| Blue Cross Blue Shield | $82 - $195 | 65% |
| Cigna | $82 | 65% |
| Midland Care Connection | $82 | 65% |
| Tricare | $82 | 65% |
| Celtic | $86 - $132 | 68% |
| Healthy Blue | $86 - $104 | 68% |
| Kansas Superior Select | $86 | 68% |
| Corizon | $107 | 85% |
| Well Path Prison | $115 | 91% |
| Employer Direct Healthcare | $115 | 91% |
| Early Detection Works | $119 | 94% |
| Centurion | $123 | 97% |
| Naphcare | $128 | 101% |
| Comp Alliance - Fka Compresults Worker Compensation | $147 | 116% |
| Oha Networks | $158 | 125% |
| Worker Compensation | $163 | 129% |
| First Health | $750 | 594% |
Consumer Guidance & Cost Commentary
For the screening mammogram (both breasts) at Providence Medical Center in Kansas City, KS, the facility's cash price of $82.00 is significantly lower than the median negotiated rate of $106.00 and the median paid amount of $257.00. While the facility's cash rate is also lower than the state average of $126.25 (the Medicare benchmark), patients should be aware that commercial insurance contracts often result in higher out-of-pocket costs due to administrative fees and network tiering. For individuals with high-deductible plans who have not yet met their deductible, paying the $82.00 cash price upfront may be more cost-effective than relying on insurance, which could otherwise lead to higher negotiated charges or balance billing if the provider's contract allows it.
To minimize costs, patients should proactively request "self-pay" or "prompt-pay" discounts before scheduling the appointment, as these programs can offer additional reductions beyond the base cash rate. It is important to verify the specific allowed amount for your insurance plan, as in-network rates vary widely among the 21 payers listed, ranging from $72 to $750. If you receive a bill after using insurance, always request a full itemized statement to review every code and ensure no services were rendered or double-billed, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.