Diagnostic mammogram (both breasts)
Facility: Stanton County Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $394
- Cash Discount Price: $415
- vs. Medicare Baseline: 2.51x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 251% of the Medicare baseline (a markup of 151%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 | $117 - $394 | 75% |
| Healthy Blue Mcr Adv - All Other Plans | $406 | 259% |
| Healthy Blue Mcaid | $415 | 264% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram of both breasts at Stanton County Hospital in Johnson, KS, the cash price is $415.00, which matches the facility's maximum negotiated rate. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that cash payments can sometimes be more economical than insurance claims, particularly for those with high-deductible plans where the insurer's negotiated rate might exceed the cash price. Although the data does not provide specific county or state average comparisons for this specific CPT code, it is important to verify the facility's "self-pay" or "prompt-pay" discounts directly with the hospital before scheduling, as these upfront incentives can significantly reduce out-of-pocket costs by bypassing administrative fees and claims processing delays.
The Medicare benchmark for this service is $156.98, which serves as a critical baseline for evaluating the facility's pricing markup. The commercial negotiated rate of $400.00 (the median paid by insurers) represents a significant increase over the Medicare amount, reflecting the administrative structures and contract dynamics inherent in commercial insurance. Patients should avoid accepting summary bills that obscure individual charges, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If you receive a bill that appears inflated, request a formal itemized audit via certified mail to identify discrepancies, and remember that the No Surprises Act protects you from balance billing for out-of-network providers at in-network facilities, so you should not feel pressured to sign away your rights to dispute charges immediately.