Screening mammogram (both breasts)
Facility: Neosho Memorial Regional Medical Center
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $82
- Cash Discount Price: $164
- vs. Medicare Baseline: 0.65x 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 |
|---|---|---|
| Tricare | $67 | 53% |
| Medicaid / KanCare | $72 | 57% |
| Aetna | $82 | 65% |
| Medicare (plans) | $82 | 65% |
| Humana | $82 | 65% |
| Va_Ccn | $82 | 65% |
| Medadv_Allwell | $82 | 65% |
| Medadv_Uhc | $82 | 65% |
| Blue Cross Blue Shield | $82 - $178 | 65% |
| Ambetter / Centene | $86 | 68% |
| Wppa_Providrscare | $181 | 143% |
| United | $182 | 144% |
| Hpk | $207 | 164% |
| Cigna | $207 | 164% |
| Coventry | $207 | 164% |
Consumer Guidance & Cost Commentary
For a screening mammogram at Neosho Memorial Regional Medical Center in Chanute, KS, the facility's cash price of $164.00 is lower than the negotiated rates paid by most major insurers, which range from $82.00 to $207.00. While commercial payers like Hpk and Cigna charge up to $207.00, the cash rate of $164.00 offers a potential savings for patients with high-deductible plans who may not yet have met their coverage thresholds. It is important to note that the facility's negotiated rate of $82.00 is significantly lower than the cash price, meaning that for patients with active insurance, the allowed amount will likely be less than what they would pay out-of-pocket. Additionally, the facility's cash rate is higher than the state average for this procedure, suggesting that while self-pay may be cheaper than some commercial contracts, it is not the lowest possible option available in the region.
Patients should be aware that the facility, a Critical Access Hospital owned by the local government, bills Medicare at a rate of $126.25, which serves as a reliable benchmark for evaluating pricing fairness. The median amount paid by insurers across all plans is $131.00, which is close to the Medicare rate, indicating that the facility's commercial contracts are generally aligned with federal reimbursement standards rather than inflated chargemaster lists. If you choose to pay cash, you may be eligible for a prompt-pay discount by asking the billing department for a self-pay rate before scheduling your visit, as hospitals often offer immediate fee reductions for upfront payments. Furthermore, if you receive a bill from