Screening mammogram (both breasts)
Facility: Stevens County Hospital
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $119
- Cash Discount Price: $125
- vs. Medicare Baseline: 0.94x 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 |
|---|---|---|
| Humana | $46 | 36% |
| Aetna | $48 - $125 | 38% |
| First Health - All Plans | $112 | 89% |
| Wppa - All Plans | $119 | 94% |
| Medicaid / KanCare | $125 | 99% |
| Blue Cross Blue Shield | $153 - $161 | 121% |
Consumer Guidance & Cost Commentary
For a screening mammogram at Stevens County Hospital in Hugoton, Kansas, the cash price is $125.00, which matches the facility's negotiated rate for Medicaid and is the lowest amount charged by any of the six payers listed. While commercial insurers like Aetna and Blue Cross Blue Shield have negotiated rates ranging from $46 to $161, these figures often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket or utilizing a prompt-pay discount. It is important to note that while the facility is in-network for these plans, the contractual agreements result in higher allowed amounts compared to the direct cash rate; therefore, patients should explicitly ask the hospital about self-pay or prompt-pay discounts before scheduling to ensure they are not paying the full negotiated rate.
The facility's pricing aligns closely with the Medicare benchmark of $126.25, with a cash price of $125.00 representing a 90% value relative to Medicare. This indicates that the facility is charging at or near the federal cost baseline rather than applying a significant markup typical of commercial chargemasters. For consumers concerned about billing accuracy, it is advisable to request a full itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. If a balance bill arises unexpectedly, patients should verify the legality of the charge under the No Surprises Act and dispute the amount in writing with the billing supervisor rather than paying immediately out of fear of credit damage.