Diagnostic mammogram (both breasts)
Facility: Menorah Medical Center
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $226
- Cash Discount Price: $1,756
- vs. Medicare Baseline: 1.44x 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 |
|---|---|---|
| United | $60 - $790 | 38% |
| Amerigroup | $60 | 38% |
| Healthyblue | $61 | 39% |
| Unicare | $62 | 39% |
| Aetna | $62 - $896 | 39% |
| Medicaid / KanCare | $62 | 39% |
| Blue Cross Blue Shield | $98 - $790 | 62% |
| Triwest Health Alliance | $98 | 62% |
| Coventry | $99 - $706 | 63% |
| Humana | $100 - $465 | 64% |
| Devoted Health | $100 | 64% |
| Cigna | $102 - $1,405 | 65% |
| Wellcare | $102 | 65% |
| Celtic | $102 | 65% |
| Pyramid Life | $107 | 68% |
| Home State Health Plan | $140 | 89% |
| Multiplan | $158 - $1,300 | 101% |
| Corvel Corporation | $187 - $1,142 | 119% |
| Oha Network | $195 - $878 | 124% |
| Ambetter / Centene | $327 | 208% |
| Nhc Advantage | $334 | 213% |
| Wppa Providrs Care Network | $351 | 224% |
| Universal Healthcare | $615 | 392% |
| Coventry Kc Mo | $720 | 459% |
| College Park Family Care Center | $755 | 481% |
| Focus Healthcare Mgmt, Inc | $1,317 | 839% |
| Cco, Inc. | $1,317 | 839% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram (both breasts) at Menorah Medical Center in Overland Park, KS, the cash price is $1,756.00, which matches the facility's cash median. This rate is significantly higher than the state average, as indicated by a 40% markup compared to Medicare's benchmark rate of $156.98. While commercial insurance plans like United and Amerigroup offer negotiated rates ranging from $60 to $790, these amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying the cash price directly can be more cost-effective than relying on insurance, provided the patient understands that their out-of-pocket costs may still be substantial if their deductible has not been met.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, unexpected ancillary services or out-of-network physicians could still trigger additional charges. To minimize costs, it is advisable to request a full itemized bill before paying, as summary invoices may obscure unbundled codes or services not rendered. Additionally, patients should inquire about prompt-pay discounts or self-pay rates before scheduling, as paying in full upfront can sometimes result in a fee reduction that bypasses the administrative overhead associated with insurance claims processing.