Diagnostic mammogram (both breasts)
Facility: Lane County Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $278
- Cash Discount Price: $278
- vs. Medicare Baseline: 1.77x 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 | $250 - $278 | 159% |
| Aetna | $250 - $264 | 159% |
| Medicaid / KanCare | $278 - $306 | 177% |
| Healthy Blue Mcaid | $278 | 177% |
| Healthy Blue Mcr Adv - All Other Plans | $278 | 177% |
| Wppa Providers-All Plans | $417 | 266% |
Consumer Guidance & Cost Commentary
For a diagnostic mammogram at Lane County Hospital in Dighton, KS, the cash price is $278, which matches the median negotiated rate across all six payers listed, including UnitedHealthcare, Aetna, and Medicaid/KanCare. This facility, a Critical Access Hospital owned by a government hospital district, does not offer a lower cash price than its insurance negotiated rates, meaning patients with high-deductible plans may find paying out-of-pocket or using self-pay discounts more cost-effective than relying on insurance coverage. While the facility's rates align with the specific payer contracts, patients should verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing administrative claim processing fees.
When evaluating the cost of this service, it is important to compare rates against the Medicare benchmark rather than the hospital's gross chargemaster list. The Medicare amount for this procedure is $156.98, and the facility's cash price of $278 represents a markup of 1.8 times the Medicare rate, which falls within the typical range of 120% to 150% considered fair pricing. Since the facility is an in-network provider for the listed plans, balance billing for this specific service is prohibited under the No Surprises Act, protecting patients from unexpected out-of-network charges. To ensure you are receiving the most accurate pricing, always request a full itemized bill showing specific CPT codes before paying, as summary bills often obscure individual line items that could contain errors or unbundled charges.