CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Grisell Memorial Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $204
  • Cash Discount Price: $207
  • vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Grisell Memorial Hospital is $204. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $207. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.62x the Medicare baseline. Located in 210 South Vermont Avenue, Ransom, KS.
Cash / Self-Pay
$207

Average discount available for prompt cash payment at this facility.

Insurance Median
$204

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $207 (164%)
Insurance Median: $204 (162%)
Cash: $207 (164% of Medicare)
Ins. Median: $204 (162% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

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