Diagnostic mammogram (both breasts)
Facility: Minneola District Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $207
- Cash Discount Price: $161
- vs. Medicare Baseline: 1.32x 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 |
|---|---|---|
| Blue Cross Blue Shield | $123 | 78% |
| Humana | $154 | 98% |
| UnitedHealthcare | $154 - $230 | 98% |
| Va Community Care Program-All Plans | $154 | 98% |
| Providrs Care Network-All Plans | $196 | 125% |
| Corporate Plan Management-All Plans | $196 | 125% |
| Triwest-All Plans | $207 | 132% |
| Preferred Health Care (Coventry)-All Other Plans | $207 | 132% |
| Phc (Coventry) Leased Network | $218 | 139% |
| Health Partners Of Kansas-All Plans | $218 | 139% |
| Aetna | $218 - $230 | 139% |
| Medicaid / KanCare | $230 | 147% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram of both breasts at Minneola District Hospital, the cash price is $161, while the median negotiated rate for in-network insurance plans is $207. This facility is a Critical Access Hospital in Kansas, and its pricing aligns closely with the state average, as the median negotiated rate matches the statewide median of $207. Patients with high-deductible plans may find the cash price more advantageous, as it is $46 lower than the typical insurance allowed amount. However, because this is a shoppable service, it is crucial to verify your specific plan's deductible status before scheduling to avoid unexpected out-of-pocket costs if you have not yet met your annual threshold.
While the facility is a government-owned hospital district, patients should proactively ask about self-pay or prompt-pay discounts before check-in, as these upfront payment incentives can significantly reduce the final bill by bypassing administrative claim processing fees. Although the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, it is still wise to request an itemized bill to ensure no unbundled codes or services not rendered are included. For context, the Medicare benchmark for this procedure is $156.98, which serves as a reliable baseline to evaluate the facility's pricing structure, showing that the commercial negotiated rate represents a reasonable markup over the federal government's cost-based reimbursement.