Screening mammogram (both breasts)
Facility: Community Memorial Healthcare, Inc.
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $85
- Cash Discount Price: $144
- vs. Medicare Baseline: 0.67x 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 |
|---|---|---|
| Aetna | $52 - $131 | 41% |
| UnitedHealthcare | $65 - $100 | 51% |
| Blue Cross Blue Shield | $161 | 128% |
Consumer Guidance & Cost Commentary
For a screening mammogram at Community Memorial Healthcare, Inc. in Marysville, KS, the cash price is $144.00, which matches the facility's median negotiated rate of $131.00 and the cash median. This cash price is significantly lower than the highest negotiated rate of $161.00 charged by Blue Cross Blue Shield, though it remains higher than the lowest negotiated rates of $52.00 and $65.00 offered by Aetna and UnitedHealthcare, respectively. Because commercial insurance contracts often include administrative overheads that inflate rates, paying cash upfront can sometimes be more cost-effective than relying on insurance, especially if your plan has a high deductible or if the insurer's negotiated rate exceeds the cash price. Patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can further reduce the final amount owed.
It is important to understand that the facility's gross charge of $144.00 represents the full list price, while the Medicare benchmark amount for this service is $126.25. The ratio of the gross charge to the Medicare rate is 0.7, indicating the facility's pricing structure relative to federal standards. While the data does not provide specific county or state average comparisons for this procedure, the facility's cash price of $144.00 serves as a clear baseline for consumers to evaluate against their own insurance allowed amounts. If you receive a bill that exceeds the cash price or the Medicare benchmark, you should request an itemized billing audit to identify potential errors, such as unbundled codes or services not rendered, as over 80