Screening mammogram (both breasts)
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $82
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.65x 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 |
|---|---|---|
| Via Christi Research | $81 | 64% |
| Va | $81 | 64% |
| Saint Lukes Health Systems | $81 | 64% |
| Vc Hope | $81 | 64% |
| Medicare (plans) | $81 - $83 | 64% |
| Humana | $81 | 64% |
| Blue Cross Blue Shield | $83 | 66% |
| UnitedHealthcare | $83 - $227 | 66% |
| Corizon | $101 | 80% |
| Smarthealth | $113 | 90% |
| Medicaid / KanCare | $138 | 109% |
| Aetna | $321 | 254% |
Consumer Guidance & Cost Commentary
For the screening mammogram (both breasts) at Via Christi Hospital Wichita St Teresa, Inc, the negotiated rates range from $81 to $321 depending on the insurance carrier, with a median negotiated amount of $82.00. This facility is located in Wichita, Kansas, and its pricing aligns closely with the state average, as the median negotiated rate of $82.00 is nearly identical to the state average of $81.00. While some payers like UnitedHealthcare have a wider range of $83 to $227, the majority of commercial plans, including Humana, Blue Cross Blue Shield, and Corizon, fall within the $81 to $83 range. For patients with high-deductible plans, paying cash upfront could potentially be more cost-effective if the facility offers a prompt-pay discount, as the administrative costs of processing insurance claims often inflate the final bill.
The Medicare benchmark for this service is $126.25, which serves as a reliable baseline for evaluating the facility's pricing markup. The commercial negotiated rates observed here are generally lower than the Medicare amount for most payers, with only UnitedHealthcare and Aetna showing higher maximums. It is important to note that the facility is a voluntary non-profit church-owned hospital, which may influence its pricing strategy compared to for-profit competitors. Patients should verify their specific plan details before scheduling, as the negotiated rate is a ceiling set by the insurance contract rather than a guaranteed payment amount. Additionally, requesting an itemized bill before payment is crucial to identify any unbundled codes or services not rendered, ensuring the final charge reflects the actual care provided.