Diagnostic mammogram (both breasts)
Facility: Hospital District #6 Patterson Health Center
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $176
- Cash Discount Price: $156
- vs. Medicare Baseline: 1.12x 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% |
| UnitedHealthcare | $176 - $195 | 112% |
| Providers Care (Wppa)-All Plans | $341 | 217% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram (both breasts) at Hospital District #6 Patterson Health Center in Anthony, KS, the cash median price is $156.00, which is lower than the negotiated rates of $176.00 paid by UnitedHealthcare and Providers Care (Wppa)-All Plans. This facility, a Critical Access Hospital owned by the government, lists a gross charge of $195.00, but patients with high-deductible plans may find paying cash directly more cost-effective than relying on insurance, as the cash price avoids the administrative markup inherent in commercial billing cycles. While the facility does not publish a specific state or county average for this procedure in the provided data, the cash rate of $156.00 is notably lower than the Medicare-approved amount of $156.98, suggesting a pricing structure that aligns closely with federal benchmarks rather than inflated chargemaster lists.
To minimize out-of-pocket costs, patients should proactively request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the bill by 20% to 50% by bypassing costly claims processing and administrative overhead. It is important to avoid automatic claims submission, which can void cash agreements and trigger balance billing if the insurance allowed amount differs from the negotiated rate; instead, patients should sign a waiver of insurance submission to ensure the facility bills the cash price directly. Given that over 80% of hospital bills often contain errors, consumers are advised to demand a full itemized CPT-coded statement before paying, allowing them to verify that no unbundled codes or services not rendered have inflated the final charge.