Screening mammogram (both breasts)
Facility: Minneola District Hospital
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $207
- Cash Discount Price: $161
- vs. Medicare Baseline: 1.64x 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 |
|---|---|---|
| Blue Cross Blue Shield | $123 | 97% |
| Va Community Care Program-All Plans | $154 | 122% |
| UnitedHealthcare | $154 - $230 | 122% |
| Humana | $154 | 122% |
| Corporate Plan Management-All Plans | $196 | 155% |
| Providrs Care Network-All Plans | $196 | 155% |
| Preferred Health Care (Coventry)-All Other Plans | $207 | 164% |
| Triwest-All Plans | $207 | 164% |
| Aetna | $218 - $230 | 173% |
| Phc (Coventry) Leased Network | $218 | 173% |
| Health Partners Of Kansas-All Plans | $218 | 173% |
| Medicaid / KanCare | $230 | 182% |
Consumer Guidance & Cost Commentary
For the screening mammogram (both breasts) at Minneola District Hospital, the facility's cash price of $161.00 is lower than the state average of $207.00, making it a potentially cost-effective option for patients with high-deductible plans or those paying out-of-pocket. While the hospital's negotiated rates with major payers like UnitedHealthcare and Aetna range from $154 to $230, these amounts often exceed the cash price, illustrating that in-network coverage does not always guarantee the lowest cost. Patients should verify their specific plan's deductible status before scheduling, as paying the full negotiated rate without meeting a deductible can result in higher out-of-pocket expenses than self-pay. Additionally, because the facility is a Critical Access Hospital owned by a Government Hospital District, patients are encouraged to explicitly ask about "self-pay" or "prompt-pay" discounts at registration, which may further reduce the final bill.
The data indicates that while the facility's cash rate is competitive, the presence of balance billing risks remains a concern if a patient receives out-of-network ancillary services, such as emergency care or specific lab tests, even at this in-network facility. Under the No Surprises Act, patients are protected from balance billing for these non-emergency services at in-network hospitals, but they must be vigilant against summary bills that obscure individual line items. To ensure accuracy, patients should request a full itemized CPT-coded bill before making any payments, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. By disputing any discrepancies in writing and refusing to sign away rights to surprise billing protections, patients can avoid unexpected costs and