Screening mammogram (both breasts)
Facility: Wilson Medical Center
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $208
- Cash Discount Price: $195
- vs. Medicare Baseline: 1.65x 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 |
|---|---|---|
| Blue Cross Blue Shield | $122 - $260 | 97% |
| Ambetter / Centene | $138 - $260 | 109% |
| UnitedHealthcare | $138 - $242 | 109% |
| Tricare | $138 | 109% |
| Humana | $138 | 109% |
| Aetna | $138 - $260 | 109% |
| Cigna | $208 | 165% |
| Mulitplan-All Plans | $239 | 189% |
| Health Partners-All Plans | $239 | 189% |
Consumer Guidance & Cost Commentary
For the screening mammogram (both breasts) at Wilson Medical Center in Neodesha, KS, the facility's cash price of $195.00 is lower than the median negotiated rate of $208.00, which is the amount commercial insurers typically pay. This facility is a Critical Access Hospital with government local ownership, and while the cash price is a solid baseline, patients should verify if their specific plan has a negotiated rate lower than $208.00 to avoid paying more than necessary. It is important to note that for patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price of $195.00 upfront can sometimes be more cost-effective than using insurance, which may result in a higher allowed amount due to administrative overhead and contract dynamics.
When comparing this service to broader benchmarks, the facility's cash price is higher than the state median paid amount of $138.00, though it remains below the gross chargemaster price of $260.00. The Medicare benchmark for this procedure is $126.25, which serves as a scientifically validated baseline for the true cost of care; commercial rates often exceed this by a significant margin due to multi-layered administrative structures. To ensure you are not overpaying, we recommend requesting an itemized billing audit to confirm all charges are accurate and asking the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full before or shortly after the service.