Diagnostic mammogram (both breasts)
Facility: Rawlins County Health Center
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $239
- Cash Discount Price: $234
- vs. Medicare Baseline: 1.52x 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 | $123 | 78% |
| UnitedHealthcare | $239 | 152% |
Consumer Guidance & Cost Commentary
For a diagnostic mammogram at Rawlins County Health Center in Atwood, Kansas, the cash price is $234.00, which is lower than the facility's negotiated rate of $239.00. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial insurance rates often exceed cash prices due to administrative costs and contract dynamics. If you have a high-deductible plan, paying the cash price of $234.00 upfront might result in immediate savings compared to your insurance's negotiated rate of $239.00, provided you have not yet met your deductible. It is always advisable to ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final amount owed.
The Medicare benchmark for this service is $156.98, which serves as a baseline for evaluating the facility's pricing markup. The cash price of $234.00 represents a 49.6% increase over the Medicare amount, while the negotiated rate of $239.00 is 52.2% higher. Although specific county or state average data was not provided in this report, understanding that commercial rates often range from 200% to 300% of Medicare helps contextualize the facility's pricing. If you receive a bill that appears higher than these benchmarks, you should request an itemized billing audit to verify that no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors that can be corrected through a formal written dispute.