Diagnostic mammogram (both breasts)
Facility: Republic County Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $184
- Cash Discount Price: $150
- vs. Medicare Baseline: 1.17x 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 |
|---|---|---|
| Rural Carriers-All Plans | $170 | 108% |
| Meritain-All Plans | $180 | 115% |
| Aetna | $180 | 115% |
| UnitedHealthcare | $184 | 117% |
| First Health-All Plans | $190 | 121% |
| Cigna | $190 | 121% |
| Midlands Choice-All Plans | $190 | 121% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram (both breasts) at Republic County Hospital in Belleville, KS, the facility's negotiated rates range from $170 to $190 across seven major payers, with a median negotiated rate of $184. This commercial pricing aligns closely with the state average, as the median paid amount is $180. While the facility's gross charge is $200, patients with high-deductible plans may find the cash price of $150 more advantageous, as it is lower than the typical insurance negotiated rate. It is important to note that commercial rates often include administrative overhead for claims processing, which can inflate the final bill compared to direct payment options.
To minimize costs, patients should proactively request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final balance by bypassing insurance billing cycles. Additionally, since the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, verifying the specific discount terms with the billing department is essential. While the Medicare benchmark for this service is $156.98, which serves as a cost-based baseline, the commercial rates reflect the negotiated agreements between insurers and the provider. Consumers are advised to avoid accepting summary bills without requesting a full itemized audit to ensure no unbundled codes or services not rendered are included in the final charge.