Diagnostic mammogram (both breasts)
Facility: Salina Regional Health Center
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $663
- Cash Discount Price: $516
- vs. Medicare Baseline: 4.22x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 422% of the Medicare baseline (a markup of 322%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Blue Cross Blue Shield | $129 - $136 | 82% |
| Preferred Phsic | $442 | 282% |
| Preferred Healthcare - All Other Plans | $597 | 380% |
| Providers Care (Wppa)-All Plans | $663 | 422% |
| Aetna | $663 | 422% |
| Multiplan (Mpi)-All Plans | $663 | 422% |
| Cigna | $663 | 422% |
Consumer Guidance & Cost Commentary
For a diagnostic mammogram at Salina Regional Health Center in Salina, KS, the facility's cash price of $516.00 is lower than the median negotiated rate of $597.00 paid by most insurance plans. While the facility's negotiated rate of $663.00 is slightly higher than the state average, patients with high-deductible plans may find the cash price more advantageous if their insurance allows a lower allowed amount than the facility's cash rate. It is important to note that commercial rates often include administrative overhead for claims processing, which can inflate the baseline price by 20% to 40% compared to direct cash payments.
Patients should verify their specific plan details before scheduling, as some in-network providers may charge significantly higher rates than others. If you choose to pay out-of-pocket, ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% for upfront payment. Additionally, if you receive a bill from an out-of-network provider at this in-network facility, the No Surprises Act protects you from balance billing for emergency care and non-emergency services, so you should never feel pressured to pay surprise bills immediately without first disputing the charge with your insurer.