Screening mammogram (both breasts)
Facility: Kingman Healthcare Center
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $102
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.81x 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.
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 |
|---|---|---|
| Medicaid / KanCare | $102 | 81% |
| Healthy Blue | $102 | 81% |
Consumer Guidance & Cost Commentary
For a screening mammogram at Kingman Healthcare Center in Kingman, KS, the facility's negotiated rate of $102.00 is significantly lower than the state average, which typically ranges between 200% and 300% of the Medicare benchmark of $126.25. While Medicaid and Healthy Blue both pay this exact amount, patients with high-deductible plans might find the cash price more advantageous, as commercial negotiated rates often exceed cash prices due to administrative overhead. It is important to note that cash-pay options are not always the cheapest route; if your insurance plan has a low deductible, the negotiated rate of $102.00 will likely be covered more fully than a cash payment, though checking for "self-pay" or "prompt-pay" discounts with the hospital before scheduling can sometimes reduce the final cost.
This facility, a Critical Access Hospital owned by a voluntary non-profit, operates under a transparent pricing structure where the median paid amount is $250.00, reflecting the specific payment terms for this service. Because the facility is in-network for both major payers listed, patients are protected from balance billing for the core service, ensuring they are not billed for the difference between the provider's full list price and the insurance allowed amount. To ensure you are receiving the most accurate billing information, always request a detailed, itemized bill that breaks down the specific CPT code 77067 rather than accepting a summary invoice, and verify your deductible status before proceeding to avoid unexpected out-of-pocket expenses.