Diagnostic mammogram (both breasts)
Facility: Ashland Health Center
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $200
- Cash Discount Price: $160
- vs. Medicare Baseline: 1.27x 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 |
|---|---|---|
| Blue Cross Blue Shield | $67 | 43% |
| Compalliance-All Plans | $160 | 102% |
| Health Partners Of Kansas-All Plans | $170 | 108% |
| Multiplan-All Plans | $196 | 125% |
| Medica Mcare - All Plans | $200 | 127% |
| Healthy Blue Mcr Adv - All Other Plans | $200 | 127% |
| Medicare (plans) | $200 | 127% |
| Medicaid / KanCare | $200 | 127% |
| UnitedHealthcare | $200 | 127% |
| Health Choice-All Plans | $200 | 127% |
| Aetna | $200 | 127% |
| Providers Care (Wppa)-All Plans | $300 | 191% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram (both breasts) at Ashland Health Center in Ashland, KS, the facility's cash price of $160.00 is lower than the median negotiated rate of $200.00 paid by most insurance plans. While the facility's cash rate is below the state average, patients with high-deductible plans may find paying the cash price directly more cost-effective than using insurance, as the negotiated rates often exceed the cash amount. It is important to note that the facility's cash price is also lower than the Medicare benchmark of $156.98, which serves as the federal baseline for evaluating hospital pricing markups.
Commercial insurance carriers negotiate rates that typically range from $67 to $300 for this service, with most plans settling at $200.00, which aligns with the facility's median negotiated rate. Because the facility is a Critical Access Hospital, patients should proactively ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. Additionally, since the No Surprises Act prohibits balance billing for out-of-network services at in-network facilities, patients can expect the hospital to adhere to the negotiated rates rather than charging the difference between the chargemaster and the insurance allowed amount.