Diagnostic mammogram (both breasts)
Facility: Fredonia Regional Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $169
- Cash Discount Price: $187
- vs. Medicare Baseline: 1.08x 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 | $93 - $123 | 59% |
| UnitedHealthcare | $96 - $169 | 61% |
| Veterans Programs - All Plans | $96 | 61% |
| Aetna | $96 - $169 | 61% |
| Reserve National-All Plans | $169 | 108% |
| Meritain-All Plans | $169 | 108% |
| Cigna | $169 | 108% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram (both breasts) at Fredonia Regional Hospital in Fredonia, KS, the cash price is $187.00, which matches the facility's cash median. This rate is significantly higher than the Medicare benchmark of $156.98, reflecting a markup of 110% relative to the federal government's fixed reimbursement rate. While the facility is a Critical Access Hospital owned by the local government, patients with high-deductible plans may find the cash price more affordable than the negotiated rates paid by insurance carriers. Several payers, including UnitedHealthcare and Aetna, have negotiated rates ranging from $96 to $169, meaning the cash price could be lower than the amount your insurance would allow for this service.
To maximize savings, patients should proactively request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the bill by 20% to 50% by bypassing costly insurance claims processing. It is important to avoid accepting summary bills that obscure individual charges; instead, demand a full itemized statement to identify any errors or unbundled codes, as over 80% of hospital bills contain inaccuracies. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, you should verify your specific plan's deductible status and allowed amounts before proceeding, as paying the full negotiated rate without meeting your deductible could result in higher out-of-pocket costs than paying the cash price directly.