CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Cheyenne County Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $269
  • Cash Discount Price: $241
  • vs. Medicare Baseline: 2.13x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Cheyenne County Hospital is $269. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $241. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 2.13x the Medicare baseline. Located in 210 West 1St Street, St Francis, KS.
Cash / Self-Pay
$241

Average discount available for prompt cash payment at this facility.

Insurance Median
$269

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $241 (191%)
Insurance Median: $269 (213%)
Cash: $241 (191% of Medicare)
Ins. Median: $269 (213% of 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 213% of the Medicare baseline (a markup of 113%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

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 97%
UnitedHealthcare $186 - $283 147%
First Health - All Plans $198 157%
Healthy Blue Mcr Adv $204 162%
Tricare $204 162%
Aetna $204 - $269 162%
Choice Care - All Plans $206 163%
Firstguard - All Plans $226 179%
Wppa - All Plans $255 202%
Cpm - All Plans $269 213%
Preferred Hc - All Plans $269 213%
Midlands Choice - All Plans $275 218%
Integrated Hp - All Plans $277 219%
Ppo Next - All Plans $277 219%
Health Partners - All Plans $277 219%
Unicare - All Plans $277 219%
Healthwave Mcaid - All Plans $283 224%
Childrens Mercy - All Plans $283 224%
Healthy Blue Mcaid - All Other Plans $283 224%
Providers Care-All Plans $424 336%

Consumer Guidance & Cost Commentary

For this screening mammogram at Cheyenne County Hospital, the facility's cash price of $241 is lower than the median negotiated rate of $269 paid by most insurance plans, including UnitedHealthcare and Aetna. While the gross charge listed is $283, patients with high-deductible plans might find paying the cash price directly more cost-effective than relying on insurance, which often incurs higher administrative costs and potential balance billing. It is important to note that while the facility is a Critical Access Hospital in St. Francis, KS, the data provided does not include specific state or county average comparisons for this procedure, so the cash and negotiated rates should be viewed as the primary benchmarks for this location.

The Medicare benchmark for this service is $126.25, which serves as a baseline to evaluate the facility's pricing structure. The facility's cash rate of $241 represents a markup over the Medicare amount, while the median negotiated rate of $269 reflects the typical contractually agreed-upon price for in-network members. Patients should be aware that commercial rates often exceed Medicare benchmarks due to multi-layered administrative structures and contract dynamics. To ensure you are receiving the best possible price, you should contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront, bypassing the standard insurance billing cycle.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 210 West 1St Street, St Francis, KS 67756
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals