Diagnostic mammogram (both breasts)
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $270
- Cash Discount Price: $90
- vs. Medicare Baseline: 1.72x 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 |
|---|---|---|
| Hchsync Centrus Health Direct [503999916] | $135 - $158 | 86% |
| Alt Wppa [5032000964] | $189 | 120% |
| Meritain Health [503200039] | $189 - $270 | 120% |
| Wppa [503200056] | $189 | 120% |
| Alt Carelon Behavioral Health [503200905] | $225 | 143% |
| Humana | $225 | 143% |
| Tricare | $225 | 143% |
| Cigna | $270 - $360 | 172% |
| Allied National [503999937] | $270 | 172% |
| National Assn Letter Carriers [503200019] | $270 | 172% |
| Alt Meritain Health [503999911] | $270 | 172% |
| Php [503200005] | $270 | 172% |
| First Health [5032000110] | $270 | 172% |
| Aetna | $270 | 172% |
| Aha-Healthcare Preferred [503200050] | $270 | 172% |
| Correct Care Solutions [50311253] | $315 | 201% |
| Triwest [503201703] | $360 | 229% |
| Usa Managed Care [503999030] | $405 | 258% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram of both breasts (CPT 77066) at the University of KS Health System Great Bend Campus, the cash price is $90.00, which is significantly lower than the facility's negotiated rates that range from $135 to $405 depending on the insurance plan. While the median negotiated amount paid by insurers is $215.00, the cash price of $90.00 represents a substantial discount for patients who pay out-of-pocket. It is important to note that for patients with high-deductible plans, paying the cash price may be more cost-effective than relying on insurance, as the insurer's negotiated rate often exceeds the cash price. Additionally, patients should inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill if settled upfront.
This service is priced at a 1.7x markup compared to the Medicare benchmark of $156.98, reflecting the administrative costs and contract dynamics inherent in commercial insurance billing. Although the facility is an acute care hospital in Great Bend, KS, with a government ownership structure, the wide variance in negotiated rates across 18 different payers highlights the importance of verifying your specific plan's allowed amount before scheduling. To avoid unexpected costs, patients should request an itemized bill to ensure no errors or unbundled charges exist, as over 80% of hospital bills contain discrepancies. Furthermore, if you receive a balance bill from an out-of-network provider, you may be entitled to protections under the No Surprises Act, which prevents providers from charging you the difference between their full rate and your insurance's allowed amount for emergency