Screening mammogram (both breasts)
Facility: St Luke Hospital & Living Center
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $110
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.87x 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 |
|---|---|---|
| Humana | $110 | 87% |
| Blue Cross Blue Shield | $110 | 87% |
| Va Ccn | $110 | 87% |
| Kansas Department Of Health And Environment | $110 | 87% |
| UnitedHealthcare | $110 | 87% |
| Bluestem Pace | $110 | 87% |
| Ambetter / Centene | $111 | 88% |
Consumer Guidance & Cost Commentary
For a screening mammogram at St Luke Hospital & Living Center in Marion, KS, the negotiated rate is $110, which matches the lowest and highest amounts paid by all seven commercial payers listed, including Humana and Blue Cross Blue Shield. This facility, a Critical Access Hospital owned by a government hospital district, does not offer a cash price or a median paid amount in the current data, meaning patients with high-deductible plans should verify if paying cash directly could result in a lower total than their insurance negotiated rate. While the facility's negotiated rate is fixed across all insurers, patients should explicitly ask for "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill by bypassing administrative processing costs.
The Medicare benchmark for this service is $126.25, which serves as the objective baseline for evaluating pricing fairness. Although the facility's negotiated rate of $110 is lower than the Medicare amount, patients should be aware that commercial rates often include administrative markups that can inflate the final cost compared to the true cost of care. To ensure you are not overpaying, it is crucial to request an itemized billing audit before paying any invoice, as summary bills often hide unbundled charges or services not rendered. If you receive a bill that appears inflated, you should dispute it in writing to the billing supervisor rather than accepting the summary total, ensuring you are only paying for the exact service rendered at the agreed-upon rate.