Screening mammogram (both breasts)
Facility: Amberwell Atchison Association
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $170
- Cash Discount Price: $345
- 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 |
|---|---|---|
| Humana | $100 - $174 | 79% |
| Triwest - All Plans | $100 - $127 | 79% |
| Va Ccn - All Plans | $100 - $127 | 79% |
| Superior Select Mcr Adv - All Plans | $100 - $127 | 79% |
| UnitedHealthcare | $100 - $693 | 79% |
| Blue Cross Blue Shield | $153 - $161 | 121% |
| Ambetter / Centene | $155 - $197 | 123% |
| Aetna | $167 - $212 | 132% |
| Cigna | $167 - $212 | 132% |
| Oscar - All Plans | $227 - $290 | 180% |
| Centrus Health Direct - All Plans | $227 - $290 | 180% |
| Multiplan - All Plans | $236 - $301 | 187% |
| Wppa Providrs Care - All Plans | $273 - $347 | 216% |
Consumer Guidance & Cost Commentary
For a screening mammogram at Amberwell Atchison Association in Atchison, KS, the cash price is $345.00, which matches the facility's median negotiated rate. While commercial insurance plans like Humana and Triwest typically pay between $100 and $174, and Medicare allows $126.25, the cash price remains the same as the facility's median. This suggests that for patients with high-deductible plans, paying the full cash price of $345.00 upfront may be more cost-effective than relying on insurance, which often results in lower allowed amounts that could still leave significant out-of-pocket costs after deductibles. Patients should verify if their specific plan has a lower allowed amount than the cash price before scheduling to ensure they are not paying more than necessary.
To minimize potential balance billing or unexpected charges, consumers should request a prompt-pay discount before check-in, which can reduce the $345.00 bill by 20% to 50% if paid in full within 30 days. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is still advisable to confirm that all ancillary services, such as lab work, are covered under the same network agreement. If a patient receives an itemized bill that includes charges for services not rendered or unbundled codes, they should request a formal written audit dispute rather than accepting a summary invoice. Given that over 80% of hospital bills contain errors, obtaining a detailed CPT-coded statement is the most effective way to identify and correct billing mistakes before payment.