Diagnostic mammogram (both breasts)
Facility: Goodland Regional Medical Center
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $228
- Cash Discount Price: $228
- vs. Medicare Baseline: 1.45x 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% |
| Wppa | $215 - $228 | 137% |
| UnitedHealthcare | $228 | 145% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram (both breasts) at Goodland Regional Medical Center in Goodland, KS, the cash median price is $228.00, which aligns exactly with the median negotiated rate of $228.00. This service is billed under CPT code 77066, and while the facility is a Critical Access Hospital owned by the local government, the pricing structure here does not show a significant gap between self-pay and insurance rates. Patients with high-deductible plans may find this cash price advantageous if their insurance negotiated rates were to exceed this amount, though in this specific case, the cash and negotiated figures are identical. It is always advisable to confirm with the hospital regarding any potential "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can further reduce costs by bypassing administrative fees associated with insurance claims.
When evaluating the cost against federal benchmarks, the Medicare amount for this procedure is $156.98. The data indicates a multiplier of 1.5 when comparing the facility's rates to the Medicare amount, suggesting the commercial pricing is 50% higher than the federal baseline. While the report does not provide specific state or county average figures for direct comparison, the facility's location in Goodland (ZIP 67735) is relevant for understanding local cost variations. Blue Cross Blue Shield offers a single plan at a rate of $123, which is lower than the facility's cash median, whereas WPPA and UnitedHealthcare have two plans each with negotiated rates ranging from $215 to $228. Consumers should be aware that while the No Surprises Act protects against balance billing for