Diagnostic mammogram (both breasts)
Facility: Centura St. Catherine-Dodge City
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $329
- Cash Discount Price: $200
- vs. Medicare Baseline: 2.10x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 210% of the Medicare baseline (a markup of 110%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Blue Cross Blue Shield | $98 - $145 | 62% |
| Cigna | $98 | 62% |
| Medicare (plans) | $98 | 62% |
| Aetna | $98 - $400 | 62% |
| Humana | $98 | 62% |
| Kansas Health | $98 | 62% |
| Kaiser | $98 | 62% |
| Centura Employee Plan | $122 | 78% |
| UnitedHealthcare | $329 | 210% |
| Wpaa | $350 | 223% |
| Multiplan | $400 - $450 | 255% |
| Christian Health Aid | $400 | 255% |
| Health Partners Of Kansas | $450 | 287% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram of both breasts (CPT 77066) at Centura St. Catherine-Dodge City, the facility's cash median price is $200.00, which is significantly lower than the state average of $329.00. While the facility's negotiated rates with insurance payers range from $98 to $450, the cash price offers a substantial alternative for patients who may have high deductibles or prefer direct payment. It is important to note that commercial negotiated rates often include administrative overhead and contract dynamics that can inflate the baseline price by 20% to 40% compared to the true cost of care. Patients should verify their specific plan's deductible status before scheduling, as paying the full negotiated rate without meeting the deductible can result in higher out-of-pocket costs than paying cash directly.
When evaluating the cost of this service, it is critical to compare rates against the Medicare benchmark rather than the facility's gross chargemaster list. The Medicare allowed amount for this procedure is $156.98, which serves as a scientifically validated baseline representing the true cost of delivery. Commercial rates typically average 200% to 300% of this Medicare rate, whereas fair pricing is generally defined as 120% to 150%. Additionally, patients should inquire about "prompt-pay" discounts, which can reduce bills by 20% to 50% for upfront payment, effectively bypassing the costly insurance claims processing cycle. Always request an itemized bill before finalizing payment to ensure accuracy and avoid potential errors or double-charging.