Screening mammogram (both breasts)
Facility: Stafford County Hospital
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $206
- Cash Discount Price: $206
- vs. Medicare Baseline: 1.63x 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.
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 | $196 | 155% |
| Va Ccn-All Plans | $206 | 163% |
| UnitedHealthcare | $206 | 163% |
| Medica Mcr- All Plans | $206 | 163% |
| Humana | $206 | 163% |
Consumer Guidance & Cost Commentary
For the screening mammogram (both breasts) at Stafford County Hospital, the cash price is $206.00, which matches the median negotiated rate across all five payers, including Health Partners, UnitedHealthcare, and Humana. This facility is a Critical Access Hospital in Stafford, Kansas, and its rates align exactly with the cash median and the median negotiated amount of $206.00. Because the cash price equals the insurance negotiated rate, patients with high-deductible plans may find paying out-of-pocket immediately to be the most cost-effective option, as they would avoid any potential deductibles or copays associated with using insurance.
While the data does not provide specific state or county average comparisons for this procedure, the facility's pricing is transparent and consistent across all payer plans listed. Patients should be aware that even though this is an in-network service, the absence of a lower negotiated rate suggests that the facility is not offering a significant discount for self-pay. To potentially reduce costs, it is advisable to contact the hospital directly to confirm if any "self-pay" or "prompt-pay" discounts are available, as these incentives can sometimes lower the final bill even when insurance is involved.