Screening mammogram (both breasts)
Facility: Bob Wilson Memorial Hospital
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $231
- Cash Discount Price: $113
- vs. Medicare Baseline: 1.83x 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 |
|---|---|---|
| Medicare (plans) | $90 | 71% |
| Humana | $90 | 71% |
| Aetna | $90 - $226 | 71% |
| Kansas Health | $90 | 71% |
| UnitedHealthcare | $90 - $235 | 71% |
| Centura Employee Plan | $122 | 97% |
| Blue Cross Blue Shield | $215 | 170% |
| Multiplan | $254 - $262 | 201% |
| Health Partners Of Kansas | $265 | 210% |
| Wppa | $268 | 212% |
Consumer Guidance & Cost Commentary
For a screening mammogram (both breasts) at Bob Wilson Memorial Hospital in Ulysses, KS, the facility's cash median price is $113.00, which is significantly lower than the state average of $231.00. While the hospital's negotiated rates with major payers like Aetna and UnitedHealthcare range from $90 to $235, patients with high-deductible plans may find paying the cash price upfront more cost-effective, as the cash rate is often lower than the insurance negotiated rate. It is important to note that cash payments can sometimes result in lower out-of-pocket costs if the patient's insurance allows a higher reimbursement than the cash price, making it a strategic option to verify with the billing department before scheduling.
The facility, a Critical Access Hospital owned by a voluntary non-profit church, lists its Medicare benchmark amount at $126.25, which serves as a reliable baseline for evaluating pricing fairness. The cash price of $113.00 is below this Medicare benchmark, suggesting a competitive rate structure compared to the federal standard. However, patients should be aware that commercial negotiated rates often include administrative overhead and contract dynamics that can inflate the final cost for insured members. To ensure the most accurate billing, consumers are encouraged to request an itemized bill before payment to verify all charges and avoid potential balance billing or errors, while also inquiring about prompt-pay discounts that could further reduce the total amount owed.