CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Grisell Memorial Hospital

Billing Code: 77067 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$179
about 1.4× the $126 Medicare rate · typically $109–$332
modeled estimate · not a bill or quote
What this hospital charges insurers
$116
Below the fair price — a good deal
about $63 under the fair price · 0.9× Medicare
Medicare pays $126 Fair price $179 This hospital $116 Cash price $207 Hospital's list price $218

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

Highest price of the 9 KS hospitals we have prices for — worth calling around.

Cheapest $37 Priciest $116

Black dot = this hospital, among the 9 KS hospitals with a price for this procedure. Full list below.

A fair price for a Screening mammogram (both breasts) is about $179 (about 1.4× the $126 Medicare rate). Grisell Memorial Hospital charges insurers about $116, or about $207 in cash — below the fair price — a good deal. Located in Ransom, KS.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $152 - $232 120%
Blue Cross Blue Shieldmajor $116 92%
Humanamajor $204 - $232 162%
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 210 South Vermont Avenue, Ransom, KS 67572
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals