Diagnostic mammogram (both breasts)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $100
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.64x 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 |
|---|---|---|
| Medicare (plans) | $98 - $100 | 62% |
| Va | $98 | 62% |
| Humana | $98 | 62% |
| Vc Hope | $98 | 62% |
| Blue Cross Blue Shield | $100 | 64% |
| UnitedHealthcare | $100 - $274 | 64% |
| Smarthealth | $137 | 87% |
| Aetna | $145 - $479 | 92% |
| Medicaid / KanCare | $166 | 106% |
| Cigna | $254 | 162% |
Consumer Guidance & Cost Commentary
For the diagnostic mammogram of both breasts (CPT 77066) at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates vary significantly by insurer, ranging from $98 to $479. While the median negotiated rate across all payers is $100.00, specific plans like UnitedHealthcare and Aetna show a wider spread, with negotiated amounts reaching up to $274 and $479 respectively. The Medicare benchmark for this service is $156.98, which serves as a reliable baseline for evaluating the facility's pricing. Notably, the facility's negotiated rates are generally comparable to or slightly above the Medicare amount, but patients should be aware that commercial negotiated rates often include administrative overheads that can inflate the final cost compared to the true cost of care represented by Medicare.
Patients should consider that paying cash upfront might result in a lower total cost than using insurance, particularly if their plan has a high deductible or if the negotiated rate exceeds the cash price. Although the data does not list a specific cash median, the facility may offer prompt-pay discounts, typically ranging from 20% to 50%, for patients who settle their bill in full within a short window. To secure these savings, it is essential to request a self-pay classification and a prompt-pay discount before check-in and to sign a waiver of insurance submission to prevent automatic claims processing. Additionally, since the No Surprises Act prohibits balance billing for out-of-network services at in-network facilities, patients can confidently dispute any surprise bills without fear of credit damage, ensuring they only pay the agreed-upon negotiated or cash rate.