Screening mammogram (both breasts)
Facility: Goodland Regional Medical Center
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $228
- Cash Discount Price: $228
- vs. Medicare Baseline: 1.81x 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% |
| Wppa | $215 - $228 | 170% |
| UnitedHealthcare | $228 | 181% |
Consumer Guidance & Cost Commentary
For a screening mammogram at Goodland Regional Medical Center in Goodland, Kansas, the facility's cash price of $228 is notably higher than the state average, which sits at $126.25. While commercial insurance plans like Wppa and UnitedHealthcare negotiate rates ranging from $215 to $228, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket if they qualify for self-pay or prompt-pay discounts. It is important to verify the specific allowed amount with your insurer before scheduling, as in-network rates can vary significantly between facilities, and you should explicitly ask the hospital about any upfront payment incentives that could lower the final cost.
The facility's negotiated rates align closely with its cash price, reflecting the administrative costs and contract dynamics typical of commercial billing, where rates often run 1.8 times the Medicare benchmark of $126.25. Because over 80% of hospital bills contain errors, such as unbundled codes or services not rendered, it is advisable to request a detailed, itemized bill before finalizing payment to ensure accuracy. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, you should review all consent forms carefully to avoid inadvertently waiving rights to dispute unexpected charges, ensuring you only pay for the exact services provided.