Diagnostic mammogram (both breasts)
Facility: Bob Wilson Memorial Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $229
- Cash Discount Price: $112
- vs. Medicare Baseline: 1.46x 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 |
|---|---|---|
| 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.