Screening mammogram (both breasts)
Facility: Graham County Hospital
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $168
- Cash Discount Price: $215
- vs. Medicare Baseline: 1.33x 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 |
|---|---|---|
| Blue Cross Blue Shield | $122 | 97% |
| Medicare (plans) | $161 | 128% |
| UnitedHealthcare | $163 - $204 | 129% |
| Medicaid / KanCare | $163 | 129% |
| Celtic Commercial-All Other Plans | $177 | 140% |
| Wppa (Providers Care)-All Plans | $204 | 162% |
Consumer Guidance & Cost Commentary
For a screening mammogram at Graham County Hospital in Hill City, Kansas, the cash price is $215.00, which matches the facility's median negotiated rate. While the hospital is a Critical Access Hospital owned by the local government, patients should be aware that insurance payments for this service vary significantly. Blue Cross Blue Shield and Medicaid/KanCare pay exactly $122.00 and $163.00 respectively, whereas UnitedHealthcare and Wppa (Providers Care) pay between $163.00 and $204.00. Because the cash price is identical to the highest negotiated rate, paying out-of-pocket may not result in savings for those with high-deductible plans, but it is important to verify if your specific plan has a lower allowed amount before scheduling.
To ensure you are not overcharged, always request an itemized bill that lists every CPT code and service rendered, as summary bills often hide unbundled charges or services not received. Although the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, it is crucial to dispute any unexpected bills in writing rather than accepting them immediately. Additionally, since the cash price is $215.00, you should ask the billing department about prompt-pay discounts, which can reduce the total cost by 20% to 50% if paid upfront, effectively bypassing the administrative costs associated with insurance claims processing.