Diagnostic mammogram (both breasts)
Facility: Cheyenne County Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $269
- Cash Discount Price: $241
- vs. Medicare Baseline: 1.71x 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 | $122 | 78% |
| First Health - All Plans | $198 | 126% |
| Healthy Blue Mcr Adv | $204 | 130% |
| Tricare | $204 | 130% |
| UnitedHealthcare | $204 - $283 | 130% |
| Aetna | $204 - $269 | 130% |
| Choice Care - All Plans | $206 | 131% |
| Firstguard - All Plans | $226 | 144% |
| Wppa - All Plans | $255 | 162% |
| Preferred Hc - All Plans | $269 | 171% |
| Cpm - All Plans | $269 | 171% |
| Midlands Choice - All Plans | $275 | 175% |
| Integrated Hp - All Plans | $277 | 176% |
| Ppo Next - All Plans | $277 | 176% |
| Unicare - All Plans | $277 | 176% |
| Health Partners - All Plans | $277 | 176% |
| Childrens Mercy - All Plans | $283 | 180% |
| Healthwave Mcaid - All Plans | $283 | 180% |
| Healthy Blue Mcaid - All Other Plans | $283 | 180% |
| Providers Care-All Plans | $424 | 270% |
Consumer Guidance & Cost Commentary
For CPT code 77066, a diagnostic mammogram for both breasts, the cash price at Cheyenne County Hospital in St. Francis, KS, is $241.00, which is lower than the facility's negotiated rates of $269.00 and the median paid amount of $255.00. While the facility's cash price is below the gross charge of $283.00, it is important to note that commercial insurance plans often pay significantly higher negotiated rates, ranging from $122 to $424 depending on the specific insurer. For patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price of $241.00 upfront may be more cost-effective than relying on insurance, which could result in a higher allowed amount or a balance bill if the provider is out-of-network.
The facility's cash rate of $241.00 is notably lower than the Medicare benchmark of $156.98, indicating that the cash price includes a markup relative to the federal government's cost-based reimbursement. However, this comparison highlights that commercial negotiated rates, which average between 200% and 300% of Medicare, can sometimes exceed cash prices due to administrative overhead and contract dynamics. Patients should verify their specific plan's allowed amount before scheduling, as some insurers may pay less than the cash price if the patient has not met their deductible. Additionally, patients should inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can further reduce the final cost by bypassing the standard insurance billing cycle.