Diagnostic mammogram (both breasts)
Facility: Stevens County Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $117
- Cash Discount Price: $125
- vs. Medicare Baseline: 0.75x 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 |
|---|---|---|
| Humana | $46 | 29% |
| Aetna | $48 - $125 | 31% |
| First Health - All Plans | $112 | 71% |
| Blue Cross Blue Shield | $117 - $123 | 75% |
| Wppa - All Plans | $119 | 76% |
| Medicaid / KanCare | $125 | 80% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram (both breasts) at Stevens County Hospital in Hugoton, Kansas, the cash price is $125.00, which matches the facility's gross charge and the median paid amount for this service. While the facility's negotiated rates with major payers like Aetna and Blue Cross Blue Shield range from $46 to $123, the cash price remains the highest figure listed in this specific dataset. It is important to note that for patients with high-deductible plans, paying the cash price of $125.00 upfront can sometimes be more cost-effective than relying on insurance, as the negotiated rates for some insurers may exceed the cash amount. Additionally, patients should verify if the hospital offers "self-pay" or "prompt-pay" discounts, which could further reduce the final bill if paid in full before or shortly after the service.
This procedure is benchmarked against the Medicare rate of $156.98, showing a ratio of 0.7, meaning the cash price is 70% of the Medicare amount. Although the data provided does not include specific state or county average figures for comparison, the facility operates as a Critical Access Hospital with government-local ownership, which often influences pricing structures. To ensure you are not overcharged, it is recommended to request an itemized billing audit if you receive a summary bill, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. If you encounter a balance bill from an out-of-network provider at this in-network facility, you may be protected under the No Surprises Act, which bans balance billing for emergency and non-emergency services, allowing you to dispute unexpected