Screening mammogram (both breasts)
Facility: Ellinwood District Hospital
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $116
- Cash Discount Price: $140
- vs. Medicare Baseline: 0.92x 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 |
|---|---|---|
| Cigna | $116 | 92% |
| Blue Cross Blue Shield | $116 | 92% |
| Aetna | $116 | 92% |
| UnitedHealthcare | $116 | 92% |
| Humana | $116 | 92% |
Consumer Guidance & Cost Commentary
For a screening mammogram at Ellinwood District Hospital, the negotiated rate of $116 aligns exactly with the lowest and highest prices reported across all five major payers, including Cigna, Blue Cross Blue Shield, Aetna, UnitedHealthcare, and Humana. This facility, a Critical Access Hospital in Ellinwood, KS, offers a cash price of $140, which is notably higher than the negotiated rate. While commercial insurance contracts often result in higher out-of-pocket costs due to administrative overhead, patients with high-deductible plans may find the cash price more affordable if their insurance negotiated rate exceeds the cash amount. It is always advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts before scheduling, as these upfront incentives can significantly reduce the final bill.
The Medicare benchmark for this service is $126.25, which serves as the objective baseline for evaluating pricing fairness. The facility's negotiated rate of $116 is approximately 91% of the Medicare amount, indicating a rate that is lower than the federal standard. When reviewing your own bill, ensure you receive an itemized statement rather than a summary invoice, as hospitals may obscure individual charges to hide errors or unbundled services. If you receive a large bill, request a line-by-line audit to identify any charges for services not rendered or components that should have been bundled, as over 80% of hospital bills contain errors that can be corrected through a formal written dispute sent to the billing supervisor.