CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: University Of Ks Hlth System Great Bend Campus

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $130
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at University Of Ks Hlth System Great Bend Campus is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.03x the Medicare baseline. Located in 514 Cleveland Street, Great Bend, KS.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$130

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $50 (40%)
Insurance Median: $130 (103%)
Cash: $50 (40% of Medicare)
Ins. Median: $130 (103% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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] $56 - $108 44%
Centurion [5032000966] $74 59%
Alt Wppa [5032000964] $78 - $130 62%
Wppa [503200056] $78 - $130 62%
Meritain Health [503200039] $78 - $186 62%
Alt Carelon Behavioral Health [503200905] $93 - $155 74%
Tricare $93 - $155 74%
Humana $93 - $155 74%
National Assn Letter Carriers [503200019] $112 - $186 89%
First Health [5032000110] $112 - $186 89%
Aetna $112 - $186 89%
Allied National [503999937] $112 - $186 89%
Aha-Healthcare Preferred [503200050] $112 - $186 89%
Cigna $112 - $248 89%
Alt Meritain Health [503999911] $112 - $186 89%
Php [503200005] $112 - $186 89%
Correct Care Solutions [50311253] $130 - $217 103%
Gallagher Bassett [5032000103] $140 111%
Workers Comp [503999901] $140 111%
Triwest [503201703] $149 - $248 118%
Usa Managed Care [503999030] $167 - $279 132%

Consumer Guidance & Cost Commentary

For this screening mammogram procedure, the facility's cash price of $50.00 is significantly lower than the median negotiated rate of $186.00 paid by insurance plans, which ranges from $56 to $279 depending on the carrier. While commercial rates are often higher due to administrative costs and contract structures, patients with high-deductible plans may find paying the cash price directly more cost-effective, as the $50.00 rate is well below the lowest allowed amount of $56.00. To maximize savings, it is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can further reduce the final bill by bypassing standard insurance billing cycles.

The facility's pricing is benchmarked against Medicare, which sets a fixed rate of $126.25 for this service, serving as a reliable baseline for fair market value. Although the commercial negotiated rates vary widely across the 21 participating payers, the cash price remains the most transparent and predictable option for patients without insurance. Consumers should be aware that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, it is still crucial to request an itemized bill before payment to ensure no unbundled charges or errors exist. Always verify your specific plan's deductible status and allowed amounts with your insurer prior to scheduling to avoid unexpected out-of-pocket expenses.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 514 Cleveland Street, Great Bend, KS 67530
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals