Diagnostic mammogram (both breasts)
Facility: Community Memorial Healthcare, Inc.
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $134
- Cash Discount Price: $252
- vs. Medicare Baseline: 0.85x 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 |
|---|---|---|
| Aetna | $116 - $189 | 74% |
| Blue Cross Blue Shield | $123 | 78% |
| UnitedHealthcare | $144 | 92% |
Consumer Guidance & Cost Commentary
For a diagnostic mammogram at Community Memorial Healthcare, Inc., the cash price of $252.00 is significantly higher than the median negotiated rate of $134.00 paid by insurance carriers. While the facility is a Critical Access Hospital in Marysville, KS, with a facility rating of 4, patients should be aware that paying cash directly may not always be the most cost-effective option. If your insurance plan has a high deductible, the negotiated rate of $134.00 could result in a lower out-of-pocket cost than the full cash price, provided you have met your annual deductible threshold. It is important to verify your specific plan's allowed amount before scheduling, as in-network rates vary even within the same facility.
To ensure you are receiving the most accurate pricing, always request an itemized bill rather than accepting a summary invoice that obscures individual charges. This audit helps identify potential errors, unbundled codes, or services not rendered, which can account for a significant portion of unexpected medical debt. Additionally, if you choose to pay out-of-pocket, ask specifically about "prompt-pay" discounts, which can reduce the total amount due by offering immediate liquidity incentives. Since the facility is a non-profit organization, they may be more willing to negotiate or offer self-pay discounts if you contact them directly prior to your visit.