Screening mammogram (both breasts)
Facility: Phillips County Hospital
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $189
- Cash Discount Price: $178
- vs. Medicare Baseline: 1.50x 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 | $161 - $169 | 128% |
| UnitedHealthcare | $167 - $209 | 132% |
| Medicaid / KanCare | $209 | 166% |
| Health Partners-All Plans | $209 | 166% |
Consumer Guidance & Cost Commentary
For the screening mammogram (both breasts) at Phillips County Hospital in Phillipsburg, KS, the facility's cash price of $178.00 is lower than the state average of $189.00, though it aligns with the highest negotiated rate of $209.00 found among the four payers listed. While Medicaid/KanCare and Health Partners-All Plans have a single plan paying the full gross amount of $209.00, Blue Cross Blue Shield and UnitedHealthcare offer negotiated ranges that cap between $161.00 and $209.00. Patients with high-deductible plans should consider paying cash directly, as the $178.00 self-pay rate is significantly lower than the $168.00 median paid by insurers and the $209.00 gross charges, potentially saving hundreds of dollars if the insurance allowed amount exceeds the cash price.
To maximize savings, patients should proactively request a "prompt-pay" discount before scheduling, as paying the bill in full upfront can reduce the final cost by 20% to 50% and bypass costly administrative processing fees. It is crucial to avoid balance billing by ensuring the facility submits claims correctly or by signing a waiver of insurance submission if paying cash, as out-of-network services could trigger unexpected charges despite the No Surprises Act protections. Finally, always demand a detailed, itemized bill rather than accepting a summary invoice, since over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered, and a formal written audit dispute is the most effective way to resolve these issues.