Screening mammogram (both breasts)
Facility: Mitchell County Hospital Health Systems
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $286
- Cash Discount Price: $271
- vs. Medicare Baseline: 2.27x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 227% of the Medicare baseline (a markup of 127%). 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 |
|---|---|---|
| UnitedHealthcare | $116 - $301 | 92% |
| Blue Cross Blue Shield | $123 | 97% |
| Triwest Well Mark All Plans | $256 | 203% |
| Aetna | $271 | 215% |
| Pref Hlth Care Sytms Comm - All Plans | $271 | 215% |
| First Health-All Plans | $271 | 215% |
| Multiplan Ppo - All Plans | $286 | 227% |
| Auxiant-All Plans | $286 | 227% |
| Phc Leased Ntwrk Access - All Plans | $286 | 227% |
| Cigna | $298 | 236% |
| Health Partners Ks-All Plans | $298 | 236% |
Consumer Guidance & Cost Commentary
For the screening mammogram (both breasts) at Mitchell County Hospital Health Systems in Beloit, KS, the facility's cash price of $271.00 is lower than the gross charge of $301.00 and aligns with the state median paid amount of $271.00. 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 their insurance negotiated rates, which range from $116 to $298 depending on the specific plan. It is important to note that commercial negotiated rates often include administrative overhead and contract dynamics that can make them higher than the direct cash price, so patients should verify their specific plan's allowed amount before scheduling to ensure they are not paying more than necessary.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, unexpected charges can still occur if ancillary services are billed separately. To avoid errors, consumers should request a full itemized bill before paying, as summary invoices can obscure individual charges or unbundled codes. Additionally, since the facility offers a cash price of $271.00, patients should explicitly ask about "self-pay" or "prompt-pay" discounts at registration, which can provide further cost savings by bypassing the insurance claims processing cycle and administrative fees.