Diagnostic mammogram (both breasts)
Facility: Ellinwood District Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $116
- Cash Discount Price: $140
- vs. Medicare Baseline: 0.74x 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 |
|---|---|---|
| UnitedHealthcare | $116 | 74% |
| Aetna | $116 | 74% |
| Cigna | $116 | 74% |
| Blue Cross Blue Shield | $116 | 74% |
| Humana | $116 | 74% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram (both breasts) at Ellinwood District Hospital in Ellinwood, KS, the cash median price is $140.00, which is lower than the negotiated rate of $116.00 paid by major payers like UnitedHealthcare, Aetna, Cigna, Blue Cross Blue Shield, and Humana. This facility, a Critical Access Hospital owned by a government hospital district, charges $165.00 as its gross list price. While the cash price is slightly higher than the negotiated amount, patients with high-deductible plans may find paying the $140.00 cash rate more cost-effective if their insurance allows exceeds this figure, as the administrative costs of processing insurance claims often inflate the final bill. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront payment incentives can reduce the total cost.
The facility's pricing aligns closely with market standards, as the negotiated rate of $116.00 matches the median paid across all five major payers listed, indicating consistent pricing within the network. The Medicare benchmark for this service is $156.98, which serves as a reliable baseline for evaluating the facility's markup; the gross charge of $165.00 represents a modest increase over the federal rate, while the negotiated rate remains well below the chargemaster list price. Because over 80% of hospital bills contain errors, patients should request a detailed, itemized CPT-coded statement rather than accepting a summary bill, which may obscure unbundled charges or services not rendered. If a balance bill