Screening mammogram (both breasts)
Facility: Lane County Hospital
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $244
- Cash Discount Price: $218
- vs. Medicare Baseline: 1.93x 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 |
|---|---|---|
| UnitedHealthcare | $143 - $278 | 113% |
| Aetna | $143 - $264 | 113% |
| Medicaid / KanCare | $159 - $306 | 126% |
| Healthy Blue Mcr Adv - All Other Plans | $159 - $278 | 126% |
| Healthy Blue Mcaid | $159 - $278 | 126% |
| Wppa Providers-All Plans | $238 - $417 | 189% |
Consumer Guidance & Cost Commentary
For the screening mammogram (both breasts) at Lane County Hospital in Dighton, Kansas, the cash price is $218.00, which matches the facility's median negotiated rate of $212.00 and the Medicare benchmark of $126.25. This service is categorized under CPT code 77067, and while the facility is a Critical Access Hospital owned by a Government Hospital District, the cash price represents the most transparent baseline for patients. It is important to note that commercial payers such as UnitedHealthcare, Aetna, and Medicaid/KanCare have negotiated rates ranging from $143 to $417, which often exceed the cash price. In cases where a patient has a high-deductible plan, paying the cash price of $218.00 upfront can be more cost-effective than relying on insurance, as the negotiated rates for many plans are significantly higher than the cash amount.
Patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these incentives can reduce the final bill by 20% to 50% by bypassing administrative claim processing costs. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is still advisable to request an itemized billing audit to ensure no errors or unbundled charges exist, as over 80% of hospital bills contain inaccuracies. While the data provided does not include specific state or county average comparisons for this procedure, understanding that the cash price is the lowest available option helps patients avoid unexpected costs associated with insurance deductibles or administrative markups. Always verify your deductible status