Screening mammogram (both breasts)
Facility: Grisell Memorial Hospital
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $204
- Cash Discount Price: $207
- vs. Medicare Baseline: 1.62x 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 |
|---|---|---|
| Blue Cross Blue Shield | $116 | 92% |
| UnitedHealthcare | $152 - $232 | 120% |
| Humana | $204 - $232 | 162% |
| Medicaid / KanCare | $204 - $232 | 162% |
Consumer Guidance & Cost Commentary
For this screening mammogram at Grisell Memorial Hospital in Ransom, KS, the facility's cash median price of $207.00 is notably lower than the negotiated rates paid by major insurers like UnitedHealthcare ($152–$232) and Humana ($204–$232). While the gross charge listed is $218.00, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, which often results in higher allowed amounts due to administrative overhead and contract structures. It is important to note that Medicaid/KanCare plans also negotiate a rate of $204.00, which aligns closely with the cash price, suggesting that for many patients, the difference between self-pay and insurance reimbursement is minimal for this specific service.
To ensure you receive the most accurate and fair billing, always request a full itemized bill before agreeing to any payment plan or finalizing a settlement. Hospitals often issue summary bills that obscure individual charges, but a detailed statement allows you to verify that no unbundled codes or services not rendered have inflated your total. Additionally, since this facility is a Critical Access Hospital owned by a Government Hospital District, you should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling your appointment. These upfront payment incentives can reduce your bill by 20% to 50% by bypassing costly insurance claims processing, ensuring you pay only the actual cost of care rather than the administrative markup embedded in commercial rates.