CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Bob Wilson Memorial Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $229
  • Cash Discount Price: $112
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Bob Wilson Memorial Hospital is $229. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $112. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.46x the Medicare baseline. Located in 415 N Main Street, Ulysses, KS.
Cash / Self-Pay
$112

Average discount available for prompt cash payment at this facility.

Insurance Median
$229

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)
Cash / Self-Pay: $112 (71%)
Insurance Median: $229 (146%)
Cash: $112 (71% of Medicare)
Ins. Median: $229 (146% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
UnitedHealthcare $90 - $234 57%
Humana $90 57%
Medicare (plans) $90 57%
Aetna $90 - $225 57%
Kansas Health $90 57%
Centura Employee Plan $122 78%
Blue Cross Blue Shield $164 104%
Multiplan $253 - $261 161%
Health Partners Of Kansas $264 168%
Wppa $267 170%

Consumer Guidance & Cost Commentary

For the diagnostic mammogram of both breasts (CPT 77066) at Bob Wilson Memorial Hospital in Ulysses, KS, the facility's cash median price is $112.00, which is significantly lower than the state average of $229.00. While the hospital's negotiated rates with major payers like UnitedHealthcare and Aetna range from $90 to $234, these amounts often exceed the cash price, making self-pay a potentially more cost-effective option for patients with high-deductible plans. Because the facility is a Critical Access Hospital owned by a voluntary non-profit church, patients should proactively request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final bill by bypassing administrative claim processing costs.

The Medicare benchmark for this service is $156.98, which serves as a reliable baseline for evaluating the facility's pricing markup. The hospital's cash rate of $112.00 is below the Medicare amount, indicating a competitive price point that aligns with fair pricing standards rather than the typical 200% to 300% markup seen in commercial negotiations. If you choose to use insurance, be aware that while the facility is in-network for most carriers, the allowed amounts vary widely, with some plans paying as little as $90 and others up to $267. To avoid unexpected balance billing or errors, always request a full itemized CPT-coded bill before payment and verify your deductible status, as the negotiated rates include administrative overhead that may not be necessary if you pay cash directly.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 415 N Main Street, Ulysses, KS 67880
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals