Screening mammogram (both breasts)
Facility: Hodgeman County Health Center
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $182
- Cash Discount Price: $207
- vs. Medicare Baseline: 1.44x 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 | $117 - $123 | 93% |
| Triwest - All Plans | $166 | 131% |
| UnitedHealthcare | $166 - $246 | 131% |
| Medicaid / KanCare | $166 - $259 | 131% |
| Humana | $166 | 131% |
| Aetna | $207 | 164% |
| First Health - All Plans | $233 | 185% |
| Health Partners - All Plans | $246 | 195% |
| Wppa (Provdrscare) - All Plans | $246 | 195% |
Consumer Guidance & Cost Commentary
For a screening mammogram of both breasts at Hodgeman County Health Center in Jetmore, Kansas, the facility's cash price is $207.00, which is notably lower than the state average for this procedure. While commercial insurance plans like Blue Cross Blue Shield and Triwest have negotiated rates ranging from $117 to $166, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket. It is important to note that Medicaid/KanCare plans show a wider range, with negotiated rates between $166 and $259, and the facility's ownership is Government-Local.
The Medicare benchmark for this service is $126.25, serving as a reliable baseline to evaluate pricing fairness, as commercial rates are frequently marked up significantly above this figure. Although the facility offers a median negotiated rate of $182.00, patients should verify their specific plan's allowed amount before scheduling, as some in-network rates can be higher than others. To potentially reduce costs further, patients should ask the billing department about self-pay or prompt-pay discounts, which can lower the final bill by 20% to 50% if paid in full upfront, bypassing the administrative costs associated with insurance claims processing.