Screening mammogram (both breasts)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $83
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.66x 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) | $81 - $83 | 64% |
| Va | $81 | 64% |
| Vc Hope | $81 | 64% |
| Humana | $81 | 64% |
| Blue Cross Blue Shield | $83 | 66% |
| UnitedHealthcare | $83 - $227 | 66% |
| Aetna | $110 - $386 | 87% |
| Smarthealth | $113 | 90% |
| Medicaid / KanCare | $138 | 109% |
| Cigna | $211 | 167% |
Consumer Guidance & Cost Commentary
For the screening mammogram (both breasts) at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rate of $83.00 aligns closely with the lowest payment amounts observed across Medicare plans, VA, and several other insurers. While the facility's negotiated rate is significantly lower than the highest negotiated rates seen for this service in the region—such as the $211 charge from Cigna or the $386 maximum from Aetna—it remains comparable to the state average for this procedure. Patients should note that while cash-pay options are not listed for this specific code, inquiring about self-pay or prompt-pay discounts before scheduling can often result in further cost reductions, especially if the insurance negotiated rate exceeds the cash price.
It is important to understand that commercial insurance rates often include administrative overhead and contract markups that can make them higher than the actual cost of care, which is reflected in the Medicare benchmark of $126.25 for this service. Although the facility's negotiated rate is below the Medicare amount, patients should be aware that balance billing is generally prohibited for in-network services under the No Surprises Act, meaning they should not face unexpected bills for the difference between the chargemaster and the allowed amount. To ensure accuracy, patients should request a detailed, itemized bill before paying, as summary invoices may obscure unbundled charges or services not rendered, and they should verify their deductible status to avoid paying the full negotiated rate out of pocket.