Screening mammogram (both breasts)
Facility: Cheyenne County Hospital
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $269
- Cash Discount Price: $241
- vs. Medicare Baseline: 2.13x 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.
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.
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.