Diagnostic mammogram (both breasts)
Facility: Morris County Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $191
- Cash Discount Price: $247
- vs. Medicare Baseline: 1.22x 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 | $117 - $161 | 75% |
| Choice Care Mcr Adv-All Plans | $161 | 103% |
| Coventry Mcr | $161 | 103% |
| Va Ccn-All Plans | $161 | 103% |
| UnitedHealthcare | $161 - $412 | 103% |
| Providrs Care (Wppa)(Nexus)-All Plans | $221 | 141% |
| Cigna | $298 | 190% |
| Aetna | $369 | 235% |
| Multiplan-All Plans | $371 | 236% |
| Coventry Comm-All Other Plans | $371 | 236% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram (both breasts) at Morris County Hospital in Council Grove, KS, the facility's cash median price is $247.00, which is lower than the state average of $229.00 for this service. While the facility is a Critical Access Hospital with government-local ownership, patients should note that cash payments can sometimes be more cost-effective than using insurance if the negotiated rate exceeds the cash price. The facility offers a prompt-pay discount for upfront payments, which can further reduce the final amount owed. Because the facility is located in a rural area (ZIP 66846), patients should verify their specific plan's allowed amount, as some commercial payers may negotiate rates that differ significantly from the cash price.
When using insurance, the negotiated rates vary widely among the ten participating payers, ranging from a low of $117 with Blue Cross Blue Shield to a high of $412 with UnitedHealthcare. The median negotiated rate across all plans is $191.00, which is lower than the cash price but may still result in balance billing if the patient's specific plan allows a higher amount. Under federal protections like the No Surprises Act, patients are generally shielded from balance billing for out-of-network services at in-network facilities, though unexpected charges can still occur for ancillary services. To avoid surprises, patients should request an itemized bill before paying and dispute any charges that appear to include unbundled codes or services not rendered, ensuring they are only paying for what was actually provided.