Screening mammogram (both breasts)
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $130
- Cash Discount Price: $50
- vs. Medicare Baseline: 1.03x 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 |
|---|---|---|
| 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.