Diagnostic mammogram (both breasts)
Facility: Lindsborg Community Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $674
- Cash Discount Price: $516
- vs. Medicare Baseline: 4.29x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 429% of the Medicare baseline (a markup of 329%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 | 78% |
| Tricare | $346 | 220% |
| Coventry Mcr Adv | $350 | 223% |
| Cigna | $626 | 399% |
| Coventry Comm-All Other Plans | $663 | 422% |
| UnitedHealthcare | $663 | 422% |
| Phcs Preferred-All Plans | $685 | 436% |
| Multiplan-All Plans | $685 | 436% |
| Health Partners -All Plans | $700 | 446% |
| Century Health-All Plans | $700 | 446% |
| Coventry Wc | $700 | 446% |
| Wppa-All Plans | $700 | 446% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram (both breasts) at Lindsborg Community Hospital, the cash price of $516.00 is significantly lower than the negotiated rates paid by insurance plans, which range from $122 to $700 depending on the carrier. While the facility is a Critical Access Hospital in Lindsborg, KS, with a voluntary non-profit ownership structure, patients with high-deductible plans may find the cash price more affordable than their insurance allowed amounts, which average $685.00. It is important to note that while the facility offers a cash median of $516.00, the negotiated rates for in-network payers like Blue Cross Blue Shield and Tricare start at $122, suggesting that for some specific plans, the insurance payment could be lower than the cash price, though the overall range indicates significant variation based on the specific insurance contract.
To minimize costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing administrative claim processing fees. Additionally, since the Medicare benchmark for this service is $156.98, the cash price of $516.00 represents a markup over the federal baseline, whereas the negotiated rates reflect the administrative overhead and contract dynamics of commercial insurance. Consumers are advised to request a full itemized bill to verify all charges and avoid balance billing, especially if receiving care from out-of-network providers, as the No Surprises Act protects against unexpected bills for emergency services at in-network facilities.