Diagnostic mammogram (both breasts)
Facility: Neosho Memorial Regional Medical Center
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $152
- Cash Discount Price: $356
- vs. Medicare Baseline: 0.97x 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 |
|---|---|---|
| Medicaid / KanCare | $60 | 38% |
| Blue Cross Blue Shield | $136 - $152 | 87% |
| Tricare | $146 | 93% |
| Medicare (plans) | $152 | 97% |
| Humana | $152 | 97% |
| Medadv_Uhc | $152 | 97% |
| Va_Ccn | $152 | 97% |
| Medadv_Allwell | $152 | 97% |
| Aetna | $152 | 97% |
| Ambetter / Centene | $239 | 152% |
| Wppa_Providrscare | $394 | 251% |
| United | $395 | 252% |
| Coventry | $451 | 287% |
| Hpk | $451 | 287% |
| Cigna | $451 | 287% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram (both breasts) at Neosho Memorial Regional Medical Center in Chanute, KS, the facility's cash price of $356.00 is notably lower than the negotiated rates charged to most major insurance plans, which range from $136 to $451. While the facility's cash rate is higher than the state average of $325.00, it remains significantly below the gross chargemaster price of $474.00. Patients with high-deductible plans or those without insurance may find paying the cash price directly more cost-effective than relying on insurance, as the negotiated amounts for many payers exceed the cash rate. It is important to note that while the facility is a Critical Access Hospital with government local ownership, patients should always verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront payment incentives can further reduce the final bill.
The facility's billing practices align with standard healthcare pricing models where commercial rates often exceed cash prices due to administrative costs and contract structures. Although the facility's rating is 1, the pricing data shows a clear distinction between the government-set Medicare benchmark of $156.98 and the commercial negotiated rates, which average around $152.00 for many insurers. This discrepancy highlights that commercial rates are not necessarily the lowest possible option; in this case, the cash price is competitive with the median negotiated rate. Consumers are advised to request an itemized bill to ensure no errors exist, as over 80% of hospital bills contain mistakes such as unbundled codes or services not rendered. If a balance bill arises from an out-of-network ancillary service,