CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Via Christi Hospital Wichita St Teresa, Inc

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $99
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.63x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Via Christi Hospital Wichita St Teresa, Inc is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.63x the Medicare baseline. Located in 14800 West Teresa St, Wichita, KS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$99

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)
Insurance Median: $99 (63%)
Ins. Median: $99 (63% of 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Via Christi Research $98 62%
Humana $98 62%
Medicare (plans) $98 - $100 62%
Va $98 62%
Saint Lukes Health Systems $98 62%
Vc Hope $98 62%
Blue Cross Blue Shield $100 64%
UnitedHealthcare $100 - $274 64%
Corizon $122 78%
Smarthealth $137 87%
Medicaid / KanCare $166 106%
Aetna $387 247%

Consumer Guidance & Cost Commentary

For the diagnostic mammogram of both breasts (CPT 77066) at Via Christi Hospital Wichita St Teresa, Inc, the facility's negotiated rates range from $98 to $387 depending on the payer, with a median negotiated amount of $99.00. This facility is a voluntary non-profit church-owned acute care hospital located in Wichita, Kansas (ZIP 67235). While specific cash and median paid values are not available in the current data, it is important to note that cash-pay options can sometimes be more cost-effective for patients with high-deductible plans if the insurance negotiated rate exceeds the cash price. Patients are encouraged to explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill by bypassing administrative processing costs.

The facility's pricing is benchmarked against the Medicare rate of $156.98, which serves as a federal cost baseline for this service. Commercial negotiated rates vary widely across payers, with UnitedHealthcare showing the widest range from $98 to $274, while Aetna's rate is notably higher at $387. Although the data does not provide specific state or county average comparisons for this code, the Medicare rate of $156.98 offers a reliable objective standard to evaluate the facility's markup. Patients should avoid assuming that being in-network guarantees the lowest possible price, as different insurers negotiate different rates, and should always request an itemized bill to verify that no services were unbundled or double-charged.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14800 West Teresa St, Wichita, KS 67235
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals