Diagnostic mammogram (both breasts)
Facility: Mitchell County Hospital Health Systems
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $318
- Cash Discount Price: $302
- vs. Medicare Baseline: 2.03x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 203% of the Medicare baseline (a markup of 103%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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% |
| UnitedHealthcare | $144 - $335 | 92% |
| Triwest Well Mark All Plans | $285 | 182% |
| Pref Hlth Care Sytms Comm - All Plans | $302 | 192% |
| Aetna | $302 | 192% |
| First Health-All Plans | $302 | 192% |
| Auxiant-All Plans | $318 | 203% |
| Phc Leased Ntwrk Access - All Plans | $318 | 203% |
| Multiplan Ppo - All Plans | $318 | 203% |
| Health Partners Ks-All Plans | $332 | 211% |
| Cigna | $332 | 211% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram of both breasts (CPT 77066) at Mitchell County Hospital Health Systems in Beloit, KS, the cash price is $302.00, which aligns closely with the state median of $302.00. While the facility's negotiated rates range from $123 to $335 depending on the insurance plan, the cash price remains a competitive baseline. It is important to note that for patients with high-deductible plans, paying the cash price of $302.00 upfront may be more cost-effective than relying on insurance, as many commercial negotiated rates exceed this amount. Additionally, patients should verify if the facility offers "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by bypassing administrative overhead and claims processing fees.
When evaluating the cost against federal benchmarks, the Medicare rate for this service is $156.98. Commercial negotiated rates typically average between 200% and 300% of Medicare, whereas fair pricing is generally defined as 120% to 150% of the Medicare amount. In this instance, the lowest negotiated rate of $123 falls below the fair pricing threshold relative to Medicare, while the highest rate of $332 represents a significant markup. To ensure you are receiving the best possible price, it is recommended to request an itemized billing audit to confirm that no unbundled codes or services not rendered are included in the final charge. Always check your specific plan's deductible status before scheduling, as paying the negotiated rate may not be covered if the deductible has not yet been met.