Screening mammogram (both breasts)
Facility: Saint Luke'S South Hospital
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $117
- Cash Discount Price: $89
- vs. Medicare Baseline: 0.93x 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 |
|---|---|---|
| Cigna | $34 - $281 | 27% |
| Transplants-Case Rates [5750] | $35 - $198 | 28% |
| Blue Cross Blue Shield | $45 - $154 | 36% |
| First Health [5512] | $59 - $117 | 47% |
| Medicaid / KanCare | $72 - $162 | 57% |
| Commercial-Contracted [8000] | $74 - $160 | 59% |
| Aetna | $84 - $188 | 67% |
| UnitedHealthcare | $86 - $201 | 68% |
| Humana | $96 - $157 | 76% |
Consumer Guidance & Cost Commentary
For the screening mammogram (both breasts) at Saint Luke's South Hospital in Overland Park, KS, the facility's cash price of $89.00 is significantly lower than the state average of $149.00 and the county average of $117.00. While commercial insurance plans like Cigna and Transplants-Case Rates have negotiated rates ranging from $34 to $281, these figures often exceed the cash price, making self-pay a potentially more affordable option for patients with high-deductible plans. It is important to note that commercial rates include administrative costs for claims processing and utilization reviews, which can inflate the baseline price by 20% to 40% compared to direct cash payments.
Patients should verify their specific plan details before scheduling, as the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, though unexpected ancillary charges from out-of-network providers may still occur. If you choose to pay out-of-pocket, ask the hospital about "prompt-pay" discounts, which can reduce the bill by 20% to 50% if settled within 30 days, effectively bypassing costly insurance billing cycles. Additionally, always request a full itemized CPT-coded bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered that could be disputed to further reduce your cost.