Diagnostic mammogram (both breasts)
Facility: Scott County Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $227
- Cash Discount Price: Unavailable
- 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 |
|---|---|---|
| UnitedHealthcare | $60 - $288 | 38% |
| Blue Cross Blue Shield | $123 | 78% |
| Humana | $127 | 81% |
| Wppa | $182 - $1,200 | 116% |
| Aetna | $273 | 174% |
Consumer Guidance & Cost Commentary
For a diagnostic mammogram at Scott County Hospital, the negotiated rates paid by major insurers range from $60 to $1,200, with a median negotiated amount of $227.00. This commercial rate is 1.4 times the Medicare benchmark of $156.98, indicating a markup typical of commercial contracts that include administrative processing costs. While the facility is an in-network Critical Access Hospital in Scott City, KS, patients should be aware that cash-pay options may offer a lower total cost depending on their specific insurance deductible status. If your plan has a high deductible, paying the cash price directly could result in lower out-of-pocket expenses compared to the insurance negotiated rate, provided you secure a self-pay discount before scheduling.
To minimize potential financial exposure, it is crucial to request a prompt-pay discount or self-pay rate prior to check-in, as billing systems often default to insurance processing once a card is on file. Patients should also avoid accepting summary bills without first demanding a full itemized statement to verify that no unbundled codes or services not rendered have been charged. Although the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, verifying your deductible status and obtaining a written waiver of insurance submission are essential steps to ensure you are not inadvertently agreeing to higher out-of-network costs for ancillary services.