Screening mammogram (both breasts)
Facility: Rawlins County Health Center
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $239
- Cash Discount Price: $235
- vs. Medicare Baseline: 1.89x 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 |
|---|---|---|
| Blue Cross Blue Shield | $123 | 97% |
| UnitedHealthcare | $239 - $241 | 189% |
Consumer Guidance & Cost Commentary
For a screening mammogram at Rawlins County Health Center in Atwood, Kansas, the cash price is $235, which is lower than the facility's gross charge of $276. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that insurance negotiated rates can sometimes exceed cash prices. UnitedHealthcare members face a negotiated range of $239 to $241, whereas Blue Cross Blue Shield members pay $123. If you have a high-deductible plan, paying the cash price of $235 upfront might result in lower out-of-pocket costs compared to your insurance's allowed amount, especially if your deductible has not yet been met. Always ask the billing office about "self-pay" or "prompt-pay" discounts before scheduling to ensure you are receiving the most favorable rate available.
When reviewing your final bill, it is crucial to request a detailed, itemized statement rather than accepting a summary invoice that groups charges into broad categories. Over 80% of hospital bills contain errors, such as unbundled codes or charges for services not rendered, which can lead to unexpected debt. If you receive a balance bill from an out-of-network provider, remember that the No Surprises Act generally protects you from paying the difference between the provider's full charge and your insurance's allowed amount for emergency care and non-emergency services at in-network facilities. To protect your financial interests, dispute any surprise bills in writing with your insurer and avoid signing consent waivers that waive your rights to out-of-network protections.