Screening mammogram (both breasts)
Facility: Wamego Health Center
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $83
- Cash Discount Price: $169
- vs. Medicare Baseline: 0.66x 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 |
|---|---|---|
| UnitedHealthcare | $30 - $102 | 24% |
| Aetna | $31 - $106 | 25% |
| Medicaid / KanCare | $31 - $107 | 25% |
| Providrs Care | $49 - $167 | 39% |
| Ambetter / Centene | $83 | 66% |
| Blue Cross Blue Shield | $211 - $223 | 167% |
Consumer Guidance & Cost Commentary
For the screening mammogram (both breasts) at Wamego Health Center in Wamego, KS, the facility's cash median price is $169.00, which is lower than the state average of $211.00. While commercial insurance plans like UnitedHealthcare and Aetna negotiate rates ranging from $30 to $107, these amounts often exceed the cash price, making self-pay a potentially more affordable option for patients with high-deductible plans. It is important to note that the facility's median negotiated rate across all payers is $83.00, which remains below the state average, but individual plan allowances can vary significantly. Patients should verify their specific deductible status before scheduling, as paying the full negotiated rate without meeting a deductible can result in higher out-of-pocket costs than paying cash directly.
To maximize savings, consumers should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid upfront. These discounts bypass the administrative costs associated with insurance claims processing and are often available even if the patient has insurance, provided a waiver of insurance submission is signed. Additionally, while the Medicare benchmark for this service is $126.25, commercial rates frequently range from 200% to 300% of this baseline; however, the facility's cash rate of $169.00 is notably lower than the typical commercial markup. If a patient receives an itemized bill, they should request a full line-by-line audit to ensure no unbundled codes or services not rendered are included, as over 80%