Diagnostic mammogram (both breasts)
Facility: Grisell Memorial Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $202
- Cash Discount Price: $220
- vs. Medicare Baseline: 1.29x 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 |
|---|---|---|
| Blue Cross Blue Shield | $116 | 74% |
| UnitedHealthcare | $172 - $232 | 110% |
| Humana | $232 | 148% |
| Medicaid / KanCare | $232 | 148% |
Consumer Guidance & Cost Commentary
For a diagnostic mammogram at Grisell Memorial Hospital in Ransom, KS, the facility's cash price of $220.00 is notably lower than the median negotiated rate of $232.00 paid by UnitedHealthcare and the full chargemaster of $232.00 charged by Humana and Medicaid/KanCare. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount. It is important to note that while the facility is in-network for all listed payers, the administrative costs associated with claims processing can inflate the final bill, making the upfront cash option a potential savings strategy if the patient's insurance deductible has not yet been met.
The Medicare benchmark for this procedure is $156.98, which serves as a baseline for evaluating the facility's pricing structure. Although the data does not provide specific state or county average comparisons for this code, the significant difference between the Medicare rate and the facility's cash price highlights the potential for substantial savings through direct payment. Patients should be aware that hospitals often offer prompt-pay discounts for self-pay patients, which can further reduce the final cost. To ensure the lowest possible out-of-pocket expense, individuals should contact the hospital directly to confirm self-pay rates and request any available prompt-pay incentives before scheduling the service.