Screening mammogram (both breasts)
Facility: Republic County Hospital
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $184
- Cash Discount Price: $150
- vs. Medicare Baseline: 1.46x 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 |
|---|---|---|
| Rural Carriers-All Plans | $170 | 135% |
| Aetna | $180 | 143% |
| Meritain-All Plans | $180 | 143% |
| UnitedHealthcare | $184 | 146% |
| Cigna | $190 | 150% |
| First Health-All Plans | $190 | 150% |
| Midlands Choice-All Plans | $190 | 150% |
Consumer Guidance & Cost Commentary
For this screening mammogram at Republic County Hospital in Belleville, KS, the negotiated rates paid by major insurers like Aetna and UnitedHealthcare average $180, which aligns closely with the state median paid amount of $180. However, patients with high-deductible plans may find the cash price of $150 more cost-effective, as it is lower than the commercial rates charged by all seven listed payers. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, the gross charge of $200 represents a significant markup compared to the Medicare benchmark of $126.25, illustrating how commercial contracts often exceed the federal cost baseline.
To minimize out-of-pocket costs, patients should proactively request a "self-pay" or "prompt-pay" discount before scheduling, as paying in full upfront can bypass administrative fees and reduce the final bill. It is also critical to avoid accepting summary bills that obscure individual charges; instead, patients should demand a detailed, itemized audit to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors. Finally, if a patient receives a balance bill from an out-of-network provider at this in-network facility, they should not pay immediately but rather dispute the charge with their insurer to invoke federal protections under the No Surprises Act.