Diagnostic mammogram (both breasts)
Facility: Kiowa County Memorial Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $178
- Cash Discount Price: $170
- vs. Medicare Baseline: 1.13x 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 - $178 | 78% |
| UnitedHealthcare | $160 - $200 | 102% |
| Health Partners Of Ks-All Plans | $176 | 112% |
| Celtic Comml Exchange-All Other Plans | $178 | 113% |
| Medica Prime Mcare Cost-All Plans | $178 | 113% |
| Humana | $178 | 113% |
| Aetna | $178 | 113% |
| Medicaid / KanCare | $200 | 127% |
| Providrs Care/Wppa-All Plans | $300 | 191% |
Consumer Guidance & Cost Commentary
For a diagnostic mammogram at Kiowa County Memorial Hospital in Greensburg, KS, the facility's cash price of $170 is lower than the average negotiated rates paid by major insurers like Blue Cross Blue Shield ($123–$178) and UnitedHealthcare ($160–$200). While the hospital is a Critical Access Hospital owned by the local government, patients with high-deductible plans may find paying the cash price of $170 more cost-effective than relying on insurance, which often results in higher out-of-pocket costs due to deductibles or copays. It is important to note that the facility's cash rate is also below the state average for this service, making it a potentially economical option for self-pay patients who have met their insurance deductibles or prefer to avoid administrative fees.
Commercial insurance contracts often result in negotiated rates that exceed cash prices due to administrative overhead and multi-layered billing structures, a dynamic clearly visible here where the median negotiated amount is $178 compared to the cash price of $170. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, it does not eliminate all potential costs if ancillary services are billed separately. To ensure the lowest possible cost, consumers should explicitly request a "self-pay" or "prompt-pay" discount before scheduling, as these upfront payment incentives can further reduce the final bill by bypassing the costly insurance claims process.