Diagnostic mammogram (both breasts)
Facility: Great Plains Of Sabetha
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $216
- Cash Discount Price: $227
- vs. Medicare Baseline: 1.38x 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 |
|---|---|---|
| Celtic Mcr Adv | $118 | 75% |
| Aetna | $119 - $229 | 76% |
| Celtic Comm Exchange-All Other Plans | $148 | 94% |
| Great West Healthcare-All Plans | $193 | 123% |
| UnitedHealthcare | $211 - $227 | 134% |
| Century/Wppa/Providers-All Plans | $216 | 138% |
| Humana | $216 | 138% |
| Multiplan-Phcs-All Plans | $216 | 138% |
| Cigna | $216 | 138% |
| Federated Mutual Ins-All Plans | $218 | 139% |
| Medicaid / KanCare | $227 | 145% |
| Blue Cross Blue Shield | $227 | 145% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram of both breasts (CPT 77066) at Great Plains of Sabetha, the cash price is $227.00, which matches the facility's negotiated rate for Medicaid/KanCare and Blue Cross Blue Shield. While the median negotiated rate across all payers is $216.00, patients with high-deductible plans may find paying cash directly cheaper than relying on insurance, as the cash price is lower than the average commercial negotiated rate of $216.00. It is important to note that commercial insurance rates often include administrative overhead and contract markups, meaning the cash price can sometimes represent a more transparent cost for self-pay patients.
The facility's cash price of $227.00 is significantly higher than the Medicare benchmark of $156.98, reflecting a markup of 144% compared to the federal baseline. This aligns with typical commercial pricing structures where negotiated rates often range between 200% and 300% of Medicare, though fair pricing is generally considered to be between 120% and 150%. To minimize costs, patients should request an itemized bill to verify that no unbundled codes or services not rendered are included, and inquire about prompt-pay discounts that could reduce the final amount. Always confirm the specific self-pay or cash discount rates with the hospital before scheduling, as these can vary and may offer further savings beyond the standard cash price.