Diagnostic mammogram (both breasts)
Facility: Overland Park Reg Med Ctr
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $219
- Cash Discount Price: $1,686
- vs. Medicare Baseline: 1.40x 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 |
|---|---|---|
| Amerigroup | $60 | 38% |
| United | $60 - $759 | 38% |
| Healthyblue | $61 | 39% |
| Unicare | $62 | 39% |
| Medicaid / KanCare | $62 | 39% |
| Aetna | $62 - $860 | 39% |
| Triwest Health Alliance | $98 | 62% |
| Blue Cross Blue Shield | $98 - $725 | 62% |
| Coventry | $99 - $678 | 63% |
| Humana | $100 - $447 | 64% |
| Devoted Health | $100 | 64% |
| Cigna | $102 - $197 | 65% |
| Celtic | $102 | 65% |
| Wellcare | $102 | 65% |
| Pyramid Life | $107 | 68% |
| Home State Health Plan | $140 | 89% |
| Multiplan | $158 - $1,247 | 101% |
| Corvel Corporation | $187 - $1,096 | 119% |
| Oha Network | $195 - $843 | 124% |
| Ambetter / Centene | $314 | 200% |
| Nhc Advantage | $320 | 204% |
| Wppa Providrs Care Network | $337 | 215% |
| Universal Healthcare | $590 | 376% |
| Coventry Kc Mo | $691 | 440% |
| College Park Family Care Center | $725 | 462% |
| Focus Healthcare Mgmt, Inc | $1,264 | 805% |
| Cco, Inc. | $1,264 | 805% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram (both breasts) at Overland Park Reg Med Ctr, the cash price of $1,686.00 is significantly higher than the state average, which is reflected in the 1.4x markup compared to the Medicare benchmark of $156.98. While commercial insurance contracts typically range from 200% to 300% of Medicare rates, this facility's cash rate is notably elevated relative to the regional baseline. Patients with high-deductible plans should consider that paying cash upfront might be more cost-effective if their insurance negotiated rate exceeds this cash price, though the data indicates the facility's cash median is the primary reference point here. It is important to verify the specific allowed amount with your insurer, as in-network rates can vary widely even within the same facility, and some plans may still result in higher out-of-pocket costs depending on your deductible status.
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 in full before or shortly after the service. Since hospitals often process claims automatically, signing a waiver to prevent insurance submission is crucial if you choose to pay out-of-pocket to secure these lower rates. Additionally, if you receive a bill, request a full itemized statement to review every code and unit charge, as over 80% of hospital bills contain errors such as double-billing or unbundled services that can be disputed. Under the No Surprises Act, you are protected from balance billing for out-of-network services at in-network facilities, so do not feel pressured to pay unexpected differences immediately;