Diagnostic mammogram (both breasts)
Facility: Logan County Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $223
- Cash Discount Price: $65
- vs. Medicare Baseline: 1.42x 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 |
|---|---|---|
| Blue Cross Blue Shield | $123 | 78% |
| Humana | $138 | 88% |
| Health Partners - All Plans | $309 | 197% |
| Medicaid / KanCare | $325 | 207% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram of both breasts at Logan County Hospital in Oakley, Kansas, the facility's negotiated rates for major insurers like Blue Cross Blue Shield and Humana range from $123 to $309, while the cash price is significantly lower at $65. This cash rate is notably lower than the facility's own negotiated average of $223, which aligns with the median negotiated rate found across the state. Because commercial insurance contracts often include administrative overhead and administrative load that can inflate prices by 20% to 40%, patients with high-deductible plans may find paying the $65 cash price directly more cost-effective than relying on insurance, provided they have not yet met their deductible. It is important to note that while the facility is a Critical Access Hospital owned by the local government, patients should explicitly ask for "self-pay" or "prompt-pay" discounts before scheduling to ensure they are not billed the full negotiated amount.
The Medicare benchmark for this service is $156.98, which serves as a scientifically validated baseline for the true cost of care, distinct from the hospital's gross charge of $325.00. Comparing the facility's cash price to the Medicare rate reveals that the $65 cash option is substantially cheaper than the federal baseline, whereas the negotiated rates for private payers are higher. Patients should be aware that balance billing is generally prohibited for out-of-network services at in-network facilities under the No Surprises Act, but they must still verify their specific plan details to avoid unexpected costs. To ensure accuracy, consumers should request an itemized billing audit if they receive a summary bill, as over 80% of hospital bills contain