Diagnostic mammogram (both breasts)
Facility: Kingman Healthcare Center
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $126
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.80x 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 |
|---|---|---|
| Healthy Blue | $126 | 80% |
| Medicaid / KanCare | $126 | 80% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram (both breasts) at Kingman Healthcare Center in Kingman, KS, the facility's negotiated rate of $126.00 aligns exactly with the lowest and highest paid amounts for this service among the two payers listed: Healthy Blue and Medicaid/KanCare. This price is significantly lower than the Medicare benchmark of $156.98, indicating a negotiated rate that is approximately 80% of the federal standard. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, the data does not provide a specific cash-pay median or state/county average for comparison. However, patients with high-deductible plans should be aware that paying cash upfront can sometimes be more cost-effective than using insurance if the negotiated rate exceeds the cash price, though no specific cash rate is available in this report.
To ensure you receive the most accurate billing, it is important to verify your specific plan's deductible status before scheduling, as in-network rates often apply only after that threshold is met. If you choose to pay out-of-pocket, you should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the total cost by offering immediate liquidity incentives. Furthermore, if you receive a bill, always request a full itemized statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If any balance billing occurs from out-of-network providers at this in-network facility, you may be protected under the No Surprises Act, which bans surprise bills for emergency and non-emergency services, allowing you to dispute unexpected charges with your insurer.