Diagnostic mammogram (both breasts)
Facility: Amberwell Atchison Association
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $197
- Cash Discount Price: $386
- vs. Medicare Baseline: 1.25x 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 - $123 | 75% |
| Humana | $127 - $174 | 81% |
| Superior Select Mcr Adv - All Plans | $127 | 81% |
| UnitedHealthcare | $127 - $693 | 81% |
| Va Ccn - All Plans | $127 | 81% |
| Triwest - All Plans | $127 | 81% |
| Ambetter / Centene | $197 | 125% |
| Cigna | $212 | 135% |
| Aetna | $212 | 135% |
| Oscar - All Plans | $290 | 185% |
| Centrus Health Direct - All Plans | $290 | 185% |
| Multiplan - All Plans | $301 | 192% |
| Wppa Providrs Care - All Plans | $347 | 221% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram of both breasts (CPT 77066) at Amberwell Atchison Association in Atchison, KS, the cash price is $386.00, which matches the facility's median negotiated rate and the cash median. This cash price is significantly lower than the median paid by insurance payers, which averages $151.00, though individual negotiated rates vary widely from $117 to $693 depending on the specific plan. For patients with high-deductible plans, paying the cash price of $386.00 upfront may be more cost-effective than relying on insurance, as the insurer's allowed amount could exceed the cash rate. Patients should verify their specific plan's deductible status and ask the facility directly about "self-pay" or "prompt-pay" discounts, which can further reduce the final out-of-pocket cost.
The facility's pricing is benchmarked against the Medicare rate of $156.98, showing a markup of 1.3 times the Medicare amount. While commercial negotiated rates often range between 200% and 300% of Medicare, the cash price here is lower than the typical commercial markup, reflecting the facility's status as a voluntary non-profit Critical Access Hospital. To avoid unexpected balance billing, patients should ensure the facility is in-network for their plan, as out-of-network services at in-network facilities are generally protected by the No Surprises Act. If a patient receives a bill exceeding the negotiated amount, they should request a formal itemized audit to identify errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies that can be