Screening mammogram (both breasts)
Facility: Great Plains Of Sabetha
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $199
- Cash Discount Price: $213
- vs. Medicare Baseline: 1.58x 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 |
|---|---|---|
| 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.