Screening mammogram (both breasts)
Facility: Salina Regional Health Center
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $323
- Cash Discount Price: $251
- vs. Medicare Baseline: 2.56x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 256% of the Medicare baseline (a markup of 156%). 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 | 102% |
| Preferred Phsic | $200 - $401 | 158% |
| Preferred Healthcare - All Other Plans | $270 - $541 | 214% |
| Providers Care (Wppa)-All Plans | $301 - $601 | 238% |
| Cigna | $301 - $601 | 238% |
| Multiplan (Mpi)-All Plans | $301 - $601 | 238% |
| Aetna | $301 - $601 | 238% |
Consumer Guidance & Cost Commentary
For a screening mammogram at Salina Regional Health Center in Salina, KS, the facility's cash price of $251.00 is lower than the state average for this procedure, which is $301.00. While the facility's negotiated rates with major payers like Blue Cross Blue Shield range from $129 to $136, these amounts are still higher than the cash price, meaning patients with high-deductible plans or those without insurance could save money by paying the cash rate directly. It is important to note that commercial insurance rates often include administrative overhead and contract markups, so paying out-of-pocket can sometimes result in a lower total cost compared to what the insurer will allow.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, it is still wise to request a prompt-pay discount before scheduling. This discount, typically ranging from 20% to 50%, allows patients to bypass costly insurance claims processing and secure immediate cash flow for the hospital. If you receive a bill after using insurance, you should always demand a full itemized audit rather than accepting a summary bill, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. Disputing these errors in writing with the billing supervisor is the most effective way to reduce unexpected medical debt.