Diagnostic mammogram (both breasts)
Facility: Smith County Memorial Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $171
- Cash Discount Price: $185
- vs. Medicare Baseline: 1.09x 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 | $122 | 78% |
| Medicaid / KanCare | $126 - $189 | 80% |
| Multiplan-All Plans | $162 - $170 | 103% |
| Wppa-All Plans | $169 - $178 | 108% |
| UnitedHealthcare | $171 - $180 | 109% |
| Midlands Choice-All Plans | $171 - $180 | 109% |
| Health Partners Of Ks Ppo-All Plans | $171 - $180 | 109% |
Consumer Guidance & Cost Commentary
For a diagnostic mammogram at Smith County Memorial Hospital in Smith Center, Kansas, the cash price of $185.00 is identical to the facility's cash median. This rate is significantly higher than the Medicare benchmark of $156.98, which serves as the objective baseline for fair pricing. While the facility is a Critical Access Hospital with government local ownership, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract dynamics. In this case, the lowest negotiated rate among payers is $122, which is lower than the cash price, but many plans fall within the $162 to $189 range.
Patients with high-deductible plans may find the cash price of $185.00 more affordable than their insurance allowed amount, especially if the insurer's negotiated rate exceeds the cash price. Before scheduling, it is crucial to verify the specific allowed amount for your plan, as in-network status does not guarantee the lowest possible price. Additionally, you should ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid upfront. Since over 80% of hospital bills contain errors, requesting a detailed, itemized statement before paying is essential to identify any unbundled codes or services not rendered.