Diagnostic mammogram (both breasts)
Facility: Girard Medical Center
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $128
- Cash Discount Price: $220
- vs. Medicare Baseline: 0.82x 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 | $123 - $128 | 78% |
| Aetna | $128 - $640 | 82% |
| Ambetter / Centene | $128 | 82% |
| UnitedHealthcare | $128 - $348 | 82% |
| Humana | $128 | 82% |
| Kansas Superior Select-All Plans | $128 | 82% |
| Medicare (plans) | $128 | 82% |
| Multiplan-All Plans | $339 | 216% |
| Uhhis-All Plans | $348 | 222% |
Consumer Guidance & Cost Commentary
For a diagnostic mammogram at Girard Medical Center in Girard, Kansas, the cash price is $220.00, while the median negotiated rate across nine payers is $128.00. This cash price is significantly lower than the facility's gross charge of $366.00, and it is also lower than the Medicare benchmark of $156.98. Patients with high-deductible plans may find paying the cash price of $220.00 more cost-effective than relying on insurance, as the negotiated rates for major carriers like Aetna and UnitedHealthcare range from $128.00 to $640.00, which could exceed the cash amount after deductibles are met. Since this facility is a Critical Access Hospital owned by a Government Hospital District, patients should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final bill.
It is important to understand that the $128.00 median negotiated rate represents a contractual ceiling set by insurance companies, not necessarily the lowest possible price. While the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, patients should still verify their specific plan details to ensure they are not subject to unexpected ancillary charges. If a patient receives an itemized bill that includes broad categories like "Laboratory" or "Pharmacy," they should request a full CPT-coded statement to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain such discrepancies. By comparing the facility's rates directly to the Medicare benchmark and