Diagnostic mammogram (both breasts)
Facility: Susan B Allen Memorial Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $256
- Cash Discount Price: $145
- vs. Medicare Baseline: 1.63x 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 |
|---|---|---|
| Providrs Care | $162 | 103% |
| UnitedHealthcare | $350 | 223% |
Consumer Guidance & Cost Commentary
For a diagnostic mammogram at Susan B Allen Memorial Hospital in El Dorado, KS, the cash price is $145.00, which is lower than the facility's negotiated rates of $256.00 and the state average of $350.00. While your insurance plans with Providrs Care and UnitedHealthcare have a negotiated rate of $162.00, paying cash upfront could result in significant savings if your deductible is high or if your plan's negotiated rate exceeds the cash price. To maximize your savings, we recommend asking the hospital directly about "self-pay" or "prompt-pay" discounts, which often reduce the final bill further by bypassing administrative claim processing fees.
It is important to understand that commercial insurance rates are often inflated by administrative costs and contract dynamics, making the cash price a more transparent benchmark for value. Although Medicare rates of $156.98 serve as a reliable cost baseline, the facility's cash rate of $145.00 is already competitive with this federal standard. If you receive a bill from an out-of-network provider or encounter unexpected charges, you have the right to request an itemized audit to identify errors or unbundled codes, and you may be protected from balance billing for emergency services under the No Surprises Act. Always verify your specific plan details and request a written itemized statement before finalizing payment to ensure you are not overcharged.