Diagnostic mammogram (both breasts)
Facility: Wichita County Health Center
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $215
- Cash Discount Price: $189
- vs. Medicare Baseline: 1.37x 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 |
|---|---|---|
| Medicaid / KanCare | $195 | 124% |
| UnitedHealthcare | $236 | 150% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram (both breasts) at Wichita County Health Center in Leoti, KS, the facility's cash price of $189.00 is lower than the median negotiated rate of $215.00 and the Medicare benchmark of $156.98. While the facility is a Critical Access Hospital with government-local ownership, patients should note that commercial insurance plans like UnitedHealthcare and Medicaid/KanCare have negotiated rates of $236.00 and $195.00, respectively. Because the cash price is already below the Medicare benchmark, paying out-of-pocket may not yield the highest savings compared to using insurance, but it avoids potential balance billing if you do not have coverage. It is important to verify your specific plan's deductible status before scheduling, as high-deductible plans may still face higher out-of-pocket costs if the negotiated rate exceeds your cash option.
To ensure you receive the most accurate pricing, we recommend requesting a prompt-pay discount from the facility before check-in, which can reduce the bill by 20% to 50% for upfront payment. Always ask for a self-pay classification at registration to prevent automatic claims submission, which could void any cash discount agreements. If you receive a bill, insist on an itemized statement that lists every CPT code and unit cost to identify potential errors, double-billing, or unbundled charges, as over 80% of hospital bills contain inaccuracies. While this specific service does not provide county or state average comparisons in the available data, understanding that commercial rates often include administrative overhead and that Medicare serves as a scientifically validated cost baseline helps clarify why negotiated rates vary significantly across payers.