Screening mammogram (both breasts)
Facility: Greenwood County Hospital
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $119
- Cash Discount Price: $163
- vs. Medicare Baseline: 0.94x 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 |
|---|---|---|
| Triwest - All Plans | $45 - $100 | 36% |
| Choicecare Mcr Adv - All Plans | $53 - $118 | 42% |
| UnitedHealthcare | $53 - $235 | 42% |
| Tricare | $53 - $118 | 42% |
| Integrated Health Plan - All Plans | $95 - $210 | 75% |
| Beech Street - All Plans | $108 - $238 | 86% |
| First Health Ccn Network | $108 - $238 | 86% |
| First Health - All Other Plans | $108 - $238 | 86% |
| Preferred Hs (Coventry) - All Plans | $114 - $252 | 90% |
| Blue Cross Blue Shield | $116 - $122 | 92% |
| Principal Health Care Inc - All Plans | $121 - $266 | 96% |
| Amerigroup Mcaid-All Plans | $127 - $280 | 101% |
| Medicaid / KanCare | $127 - $280 | 101% |
| Providrs Care/Wppa - All Plans | $190 - $420 | 150% |
Consumer Guidance & Cost Commentary
For a screening mammogram at Greenwood County Hospital in Eureka, Kansas, the cash price is $163, which is lower than the facility's gross charge of $204. While the hospital is a government-owned Critical Access Hospital, patients with high-deductible plans might find paying cash directly more cost-effective than using insurance, as some negotiated rates for in-network payers can exceed the cash price. It is important to note that commercial negotiated rates often include administrative overhead and can be significantly higher than the Medicare benchmark of $126.25, which serves as a scientifically validated baseline for the true cost of care.
Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, unexpected charges can still occur if ancillary services are billed separately. To ensure transparency, consumers should request a full itemized bill before paying, as summary invoices may hide unbundled codes or services not rendered. Additionally, asking the hospital about prompt-pay discounts before scheduling can reduce the final cost, as upfront payment bypasses the administrative costs associated with insurance claims processing.