Diagnostic mammogram (both breasts)
Facility: Wilson Medical Center
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $208
- Cash Discount Price: $195
- vs. Medicare Baseline: 1.33x 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 | $122 - $260 | 78% |
| Humana | $138 | 88% |
| UnitedHealthcare | $138 - $242 | 88% |
| Ambetter / Centene | $138 - $260 | 88% |
| Aetna | $138 - $260 | 88% |
| Tricare | $138 | 88% |
| Cigna | $208 | 133% |
| Mulitplan-All Plans | $239 | 152% |
| Health Partners-All Plans | $239 | 152% |
Consumer Guidance & Cost Commentary
For a diagnostic mammogram at Wilson Medical Center in Neodesha, KS, the billed amount varies significantly depending on your insurance plan. While the facility's cash price is $195, commercial payers negotiate rates that often exceed this amount; for instance, Blue Cross Blue Shield plans range from $122 to $260, and UnitedHealthcare plans range from $138 to $242. This occurs because insurance contracts include administrative overhead and do not reflect the lowest possible cost. If you have a high-deductible plan, paying the cash price of $195 upfront might be more cost-effective than your insurance covering a negotiated rate that could be higher, provided you have not yet met your deductible.
The facility's cash rate of $195 is notably lower than the median negotiated rate of $208 and the facility's gross charge of $260. Patients should verify their specific plan's allowed amount before scheduling, as some in-network contracts may result in higher out-of-pocket costs than self-pay. To minimize expenses, you can request a "prompt-pay" discount by paying the full cash price upfront, which often reduces the bill by 20% to 50%. Additionally, if you receive a bill from an out-of-network provider at this in-network facility, the No Surprises Act may protect you from balance billing for emergency or non-emergency services, so it is advisable to dispute any unexpected charges with your insurer rather than paying immediately.