Diagnostic mammogram (both breasts)
Facility: Greenwood County Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $287
- Cash Discount Price: $272
- vs. Medicare Baseline: 1.83x 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 |
|---|---|---|
| Blue Cross Blue Shield | $116 - $122 | 74% |
| Triwest - All Plans | $121 | 77% |
| UnitedHealthcare | $143 - $286 | 91% |
| Tricare | $143 | 91% |
| Choicecare Mcr Adv - All Plans | $143 | 91% |
| Integrated Health Plan - All Plans | $255 | 162% |
| First Health - All Other Plans | $289 | 184% |
| Beech Street - All Plans | $289 | 184% |
| First Health Ccn Network | $289 | 184% |
| Preferred Hs (Coventry) - All Plans | $306 | 195% |
| Principal Health Care Inc - All Plans | $323 | 206% |
| Amerigroup Mcaid-All Plans | $340 | 217% |
| Medicaid / KanCare | $340 | 217% |
| Providrs Care/Wppa - All Plans | $510 | 325% |
Consumer Guidance & Cost Commentary
For this diagnostic mammogram procedure at Greenwood County Hospital in Eureka, Kansas, the facility's cash price of $272 is lower than the state average of $286, making it a competitive option for self-pay patients. While the median amount paid by insurance plans ranges from $116 to $510 depending on the carrier, the cash rate is notably lower than the median negotiated rate of $287. Patients with high-deductible plans may find paying the cash price directly more beneficial, as it avoids the administrative overhead and potential out-of-pocket costs associated with insurance claims. It is important to note that while the facility is a Critical Access Hospital owned by the local government, commercial insurance rates can vary significantly; for instance, Amerigroup and Medicaid/Medicare pay the full gross amount of $340, whereas Blue Cross Blue Shield pays a much lower $116 to $122.
To ensure you are not overcharged, we recommend requesting an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If you choose to pay out-of-pocket, ask the billing department about "prompt-pay" discounts, which can reduce the total cost by 20% to 50% for upfront payment. Additionally, be aware of balance billing protections: under the No Surprises Act, you are generally protected from being billed for out-of-network services at in-network facilities, though you should verify that all ancillary services, such as lab work, are covered by your plan. Always confirm your specific deductible status and whether the facility will submit a claim to your insurer before scheduling, as automatic