Screening mammogram (both breasts)
Facility: Morris County Hospital
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $170
- Cash Discount Price: $196
- vs. Medicare Baseline: 1.35x 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 |
|---|---|---|
| Choice Care Mcr Adv-All Plans | $127 | 101% |
| UnitedHealthcare | $127 - $326 | 101% |
| Blue Cross Blue Shield | $127 - $161 | 101% |
| Va Ccn-All Plans | $127 | 101% |
| Coventry Mcr | $127 | 101% |
| Providrs Care (Wppa)(Nexus)-All Plans | $179 | 142% |
| Cigna | $236 | 187% |
| Aetna | $292 | 231% |
| Multiplan-All Plans | $293 | 232% |
| Coventry Comm-All Other Plans | $293 | 232% |
Consumer Guidance & Cost Commentary
For a screening mammogram at Morris County Hospital in Council Grove, Kansas, the cash price is $196, which is lower than the facility's negotiated rates with major insurers like UnitedHealthcare (ranging from $127 to $326) and Aetna ($293). This price transparency data highlights that paying out-of-pocket can sometimes be more cost-effective than using insurance, especially for patients with high deductibles, as commercial negotiated rates often exceed the cash price due to administrative overhead and contract structures. While the facility is a Critical Access Hospital with a government-local ownership structure, patients should verify their specific plan details, as some insurers may have different allowed amounts that could result in higher out-of-pocket costs if the patient's deductible has not yet been met.
To ensure you are not overcharged, it is recommended to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, ask the hospital about "prompt-pay" discounts, which can reduce the total bill by 20% to 50% if paid in full upfront, bypassing the costly insurance claims processing cycle. While the Medicare benchmark for this service is $126.25, commercial rates vary significantly by payer; for instance, Choice Care Mcr Adv-All Plans and Va Ccn-All Plans have a single plan rate of $127, which is close to the Medicare amount, whereas other payers like Multiplan-All Plans charge $293. Always confirm whether your specific situation involves balance billing risks, particularly if receiving care from out-of-network providers, and dispute any unexpected charges