Diagnostic mammogram (both breasts)
Facility: Stafford County Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $207
- Cash Discount Price: $207
- vs. Medicare Baseline: 1.32x 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 |
|---|---|---|
| Health Partners-All Plans | $197 | 125% |
| Humana | $207 | 132% |
| Va Ccn-All Plans | $207 | 132% |
| UnitedHealthcare | $207 | 132% |
| Medica Mcr- All Plans | $207 | 132% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram (both breasts) at Stafford County Hospital, the cash and negotiated rates are identical at $207.00, which matches the median paid amount across all five payers. This price is 30% higher than the Medicare benchmark of $156.98, reflecting the standard administrative markup associated with commercial insurance contracts. While the facility is a Critical Access Hospital in Stafford, KS, the data does not provide specific county or state average comparisons for this procedure, so patients should rely on the Medicare rate as a baseline for fair pricing. Given that the cash price equals the negotiated rate, patients with high-deductible plans may find it advantageous to pay the full $207.00 upfront rather than relying on insurance, as the insurer's allowed amount would likely be lower than the cash price.
To maximize savings, patients should explicitly request a "self-pay" or "prompt-pay" discount before scheduling, as hospitals often offer fee reductions of 20% to 50% for upfront payments that bypass costly insurance claims processing. It is critical to sign a waiver of insurance submission to ensure the hospital bills the cash rate rather than submitting a claim that could trigger balance billing or higher negotiated fees. If a patient receives a bill exceeding $207.00, they should immediately request a full itemized audit to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors that can be corrected through formal written disputes.