CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Holton Community Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $185
  • Cash Discount Price: $167
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Holton Community Hospital is $185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $167. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.47x the Medicare baseline. Located in 1110 Columbine Drive, Holton, KS.
Cash / Self-Pay
$167

Average discount available for prompt cash payment at this facility.

Insurance Median
$185

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: $167 (132%)
Insurance Median: $185 (147%)
Cash: $167 (132% of Medicare)
Ins. Median: $185 (147% 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.

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
Aetna $118 - $223 93%
UnitedHealthcare $118 - $223 93%
Humana $119 94%
Kansas Superior Select - All Plans $121 96%
Blue Cross Blue Shield $122 97%
Preferred Health Fn Select - All Other Plans $185 147%
Preferred Health Freedom $185 147%
Preferred Health Professionals $185 147%
Wppa Providers - All Plans $212 168%
Medicaid / KanCare $223 177%

Consumer Guidance & Cost Commentary

For this screening mammogram at Holton Community Hospital in Holton, Kansas, the negotiated rates range from $118 to $223 depending on your specific insurance plan, with the highest negotiated amount being $223. This facility is a Critical Access Hospital with a voluntary non-profit ownership structure. While the cash price is $167 and the median amount paid by insurance is $137, patients should be aware that commercial negotiated rates often exceed cash prices due to administrative overhead and contract dynamics. If you have a high-deductible plan, paying the cash price of $167 upfront might be more cost-effective than relying on insurance, which could result in a higher allowed amount that you must cover out-of-pocket before your deductible is met.

To ensure you are getting the best possible rate, it is crucial to verify your specific plan's negotiated amount before scheduling, as in-network rates can vary significantly between carriers. The Medicare benchmark for this service is $126.25, which serves as an objective baseline for fair pricing; commercial negotiated rates are often higher than this federal standard due to the inclusion of administrative costs and risk adjustments. Additionally, you should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if you pay in full upfront, bypassing the costly claims processing cycle. Always request an itemized bill before paying to ensure accuracy and avoid unexpected charges.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1110 Columbine Drive, Holton, KS 66436
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals