Screening mammogram (both breasts)
Facility: Menorah Medical Center
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $197
- Cash Discount Price: $1,756
- vs. Medicare Baseline: 1.56x 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 |
|---|---|---|
| Amerigroup | $72 | 57% |
| United | $72 - $790 | 57% |
| Healthyblue | $74 | 59% |
| Medicaid / KanCare | $74 | 59% |
| Unicare | $75 | 59% |
| Aetna | $75 - $896 | 59% |
| Blue Cross Blue Shield | $81 - $790 | 64% |
| Triwest Health Alliance | $81 | 64% |
| Coventry | $81 - $706 | 64% |
| Humana | $82 - $465 | 65% |
| Devoted Health | $82 | 65% |
| Cigna | $84 - $1,405 | 67% |
| Wellcare | $84 | 67% |
| Celtic | $84 | 67% |
| Pyramid Life | $88 | 70% |
| Home State Health Plan | $113 | 90% |
| Multiplan | $130 - $1,300 | 103% |
| Corvel Corporation | $155 - $1,142 | 123% |
| Oha Network | $161 - $878 | 128% |
| Ambetter / Centene | $327 | 259% |
| Nhc Advantage | $334 | 265% |
| Wppa Providrs Care Network | $351 | 278% |
| Universal Healthcare | $615 | 487% |
| Coventry Kc Mo | $720 | 570% |
| College Park Family Care Center | $755 | 598% |
| Cco, Inc. | $1,317 | 1043% |
| Focus Healthcare Mgmt, Inc | $1,317 | 1043% |
Consumer Guidance & Cost Commentary
For the screening 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 Medicare benchmark of $126.25, reflecting a markup of 1.6 times the federal standard. While the facility offers a negotiated rate of $197.00 for in-network commercial payers, this amount remains well above the Medicare baseline and varies widely depending on the specific insurance plan, with allowed amounts ranging from $72 to $1,317 across 27 different payers. Patients should be aware that while in-network insurance contracts cap charges, these negotiated rates often include administrative overhead and may still exceed the actual cash price, particularly for those with high-deductible plans where paying out-of-pocket could result in lower total costs.
To minimize out-of-pocket expenses, patients should proactively contact the hospital to inquire about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% if paid in full upfront. It is also critical to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected to lower the total. Finally, while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, patients should verify their specific plan details and deductible status before scheduling to ensure they are not inadvertently subject to higher negotiated rates or unexpected costs.