Diagnostic mammogram (both breasts)
Facility: Osborne County Memorial Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $215
- Cash Discount Price: $201
- vs. Medicare Baseline: 1.37x 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 |
|---|---|---|
| UnitedHealthcare | $180 | 115% |
| Health Partners Of Kansas | $204 | 130% |
| Wppa | $225 | 143% |
| Blue Cross Blue Shield | $232 | 148% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram of both breasts (CPT 77066) at Osborne County Memorial Hospital in Osborne, KS, the cash price of $201.00 is notably lower than the facility's gross charge of $237.00. While the hospital's negotiated rates with major payers like UnitedHealthcare and Blue Cross Blue Shield range from $180 to $232, these amounts often exceed the cash price, meaning patients with high-deductible plans or those without insurance may save money by paying out-of-pocket. The facility's cash rate is also significantly lower than the Medicare benchmark of $156.98, which serves as the objective baseline for evaluating pricing markups; however, commercial negotiated rates frequently sit between 200% and 300% of Medicare, whereas fair pricing is typically defined as 120% to 150%. To maximize savings, patients should verify if their specific insurance plan allows them to pay the cash price directly, as this can bypass the administrative overhead and higher negotiated ceilings that insurance contracts impose.
Patients should proactively contact the hospital to inquire about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid in full upfront. This strategy avoids the costly insurance billing cycle, including claims processing and potential denials, while providing the facility with immediate liquidity. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, unexpected charges can still occur for ancillary services like emergency physicians or lab tests. Before scheduling, consumers should request a full itemized CPT