CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Belton Regional Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $247
Cash Discount Price: $1,235
vs. Medicare Baseline: 1.96x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Belton Regional Medical Center is $247. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,235. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.96x the Medicare baseline. Located in 17065 S 71 Highway, Belton, MO.

Cash / Self-Pay

$1,235

Average discount available for prompt cash payment at this facility.

Insurance Median

$247

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)

Cash / Self-Pay: $1,235 (978%)

Insurance Median: $247 (196%)

Cash: $1,235 (978% of Medicare)

Ins. Median: $247 (196% of 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
United	$72 - $592	57%
Healthyblue	$74	59%
Medicaid / KanCare	$74	59%
Aetna	$75 - $671	59%
Amerigroup	$75	59%
Unicare	$75	59%
Blue Cross Blue Shield	$77 - $539	61%
Home State Health Plan	$77	61%
Coventry	$78 - $529	62%
Devoted Health	$79	63%
Humana	$79 - $349	63%
Celtic	$80	63%
Cigna	$80 - $163	63%
Wellcare	$80	63%
Pyramid Life	$84	67%
Multiplan	$130 - $973	103%
Corvel Corporation	$155 - $855	123%
Oha Network	$161 - $658	128%
Ambetter / Centene	$215 - $245	170%
Nhc Advantage	$220 - $250	174%
Wppa Providrs Care Network	$231 - $263	183%
Universal Healthcare	$404 - $460	320%
Coventry Kc Mo	$474 - $539	375%
College Park Family Care Center	$497 - $566	394%
Cco, Inc.	$982 - $1,118	778%
Focus Healthcare Mgmt, Inc	$1,040 - $1,184	824%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,235.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77067.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Belton Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77067.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.