CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Great Plains Of Sabetha

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $199
  • Cash Discount Price: $213
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Great Plains Of Sabetha is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $213. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.58x the Medicare baseline. Located in 603 S 14Th Street, Sabetha, KS.
Cash / Self-Pay
$213

Average discount available for prompt cash payment at this facility.

Insurance Median
$199

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $213 (169%)
Insurance Median: $199 (158%)
Cash: $213 (169% of Medicare)
Ins. Median: $199 (158% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $103 - $118 82%
Aetna $105 - $229 83%
Celtic Comm Exchange-All Other Plans $129 - $148 102%
Great West Healthcare-All Plans $169 - $193 134%
UnitedHealthcare $185 - $227 147%
Humana $189 - $216 150%
Cigna $189 - $216 150%
Multiplan-Phcs-All Plans $189 - $216 150%
Century/Wppa/Providers-All Plans $189 - $216 150%
Federated Mutual Ins-All Plans $191 - $218 151%
Blue Cross Blue Shield $199 - $227 158%
Medicaid / KanCare $199 - $227 158%

Consumer Guidance & Cost Commentary

For a screening mammogram at Great Plains of Sabetha, the cash price is $213.00, which matches the facility's median paid amount. While insurance plans like Aetna and UnitedHealthcare negotiate rates ranging from $103 to $227, these negotiated amounts often exceed the cash price, making self-pay a potentially more affordable option for patients with high-deductible plans. To secure the lowest possible rate, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can bypass the administrative costs and inflated negotiated rates associated with insurance billing.

It is important to understand that commercial insurance rates are frequently higher than the Medicare benchmark of $126.25 for this service, reflecting the added administrative load of claims processing and contract management. Although the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, patients should still request a detailed, itemized bill to ensure no errors or unbundled charges are included. By comparing the facility's cash rate directly to the Medicare amount rather than the inflated chargemaster list, patients can better evaluate whether their specific insurance plan offers a genuine financial advantage or if paying out-of-pocket is the smarter choice.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 603 S 14Th Street, Sabetha, KS 66534
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals