CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Ellsworth County Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $140
  • Cash Discount Price: $155
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Ellsworth County Medical Center is $140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $155. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.11x the Medicare baseline. Located in 1604 Aylward Avenue, Ellsworth, KS.
Cash / Self-Pay
$155

Average discount available for prompt cash payment at this facility.

Insurance Median
$140

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: $155 (123%)
Insurance Median: $140 (111%)
Cash: $155 (123% of Medicare)
Ins. Median: $140 (111% 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
Humana $73 - $147 58%
Healthy Blue Mcr Adv $73 58%
Va Ccn-All Plans $73 58%
Triwest -All Plans $73 58%
UnitedHealthcare $101 - $155 80%
Blue Cross Blue Shield $116 - $122 92%
Aetna $140 111%
First Health - All Plans $140 111%
Cigna $147 116%
Medicaid / KanCare $155 123%
Coventry Mcaid-All Plans $155 123%
Healthy Blue Mcaid- All Other Plans $155 123%
Providers Care-Wppa-All Plans $232 184%

Consumer Guidance & Cost Commentary

For a screening mammogram (both breasts) at Ellsworth County Medical Center in Ellsworth, KS, the cash price is $155.00, which matches the facility's negotiated rate with Medicaid and several private insurers. While the facility's cash price is identical to the state average of $155.00, it is significantly higher than the county average of $120.00. If you have a high-deductible plan, paying the full cash price of $155.00 upfront might be more cost-effective than using insurance, as the negotiated rate for many commercial payers ranges from $116.00 to $155.00, meaning you could still owe the difference after your deductible is met. It is always advisable to ask the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling, as these can reduce the final amount owed.

The facility's billing practices align with standard industry benchmarks, with a Medicare benchmarking ratio of 1.1, indicating the cash price is slightly above the federal baseline. However, the median amount paid by commercial insurers was $120.00, which is lower than the cash price, suggesting that for those with active coverage, insurance may result in a lower out-of-pocket cost depending on your deductible status. Since this is a Critical Access Hospital with a proprietary ownership structure, patients should request an itemized billing audit if they receive a summary bill, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. Always verify your specific plan's allowed amount before the visit to avoid unexpected balance billing, though the No Surprises Act protects you

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1604 Aylward Avenue, Ellsworth, KS 67439
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals