Diagnostic mammogram (both breasts)
Facility: Lincoln County Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $123
- Cash Discount Price: $230
- vs. Medicare Baseline: 0.78x 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 | $123 | 78% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram (both breasts) at Lincoln County Hospital in Lincoln, KS, the facility's cash price of $230.00 is notably lower than the state average for this procedure. While the hospital's negotiated rate with Blue Cross Blue Shield is $123.00, patients should be aware that commercial insurance rates often include administrative overhead that can make them higher than cash prices. If you have a high-deductible plan, paying the cash price of $230.00 upfront might result in lower out-of-pocket costs compared to your insurance's negotiated rate, especially if your deductible has not yet been met. It is advisable to confirm with the hospital whether "self-pay" or "prompt-pay" discounts are available before scheduling your appointment.
The facility's pricing is also evaluated against federal benchmarks, showing a ratio of 0.8 compared to the Medicare amount of $156.98, which indicates the commercial rate is lower than the standard Medicare reimbursement for this service. Since Medicare rates represent a scientifically validated baseline for the true cost of care, this comparison helps identify if the facility is charging above or below fair market value. To ensure you are not overcharged, request a detailed, itemized bill that lists every specific CPT code and charge, as summary bills often hide errors or unbundled services. If you receive a bill that appears inflated, you have the right to dispute it in writing to the billing supervisor to verify that all charges are accurate and necessary.