Screening mammogram (both breasts)
Facility: Centura St. Catherine-Dodge City
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $272
- Cash Discount Price: $166
- vs. Medicare Baseline: 2.15x 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 215% of the Medicare baseline (a markup of 115%). 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 | $81 - $189 | 64% |
| Kansas Health | $81 | 64% |
| Kaiser | $81 | 64% |
| Cigna | $81 | 64% |
| Humana | $81 | 64% |
| Aetna | $81 - $331 | 64% |
| Medicare (plans) | $81 | 64% |
| Centura Employee Plan | $122 | 97% |
| UnitedHealthcare | $272 | 215% |
| Wpaa | $290 | 230% |
| Christian Health Aid | $331 | 262% |
| Multiplan | $331 - $372 | 262% |
| Health Partners Of Kansas | $372 | 295% |
Consumer Guidance & Cost Commentary
For a screening mammogram at Centura St. Catherine-Dodge City in Dodge City, KS, the facility's cash median price is $166.00, which is lower than the state average of $272.00. While many commercial payers negotiate rates ranging from $81 to $372, patients with high-deductible plans may find paying cash upfront more cost-effective, as the cash price often falls below the insurer's negotiated ceiling. To maximize savings, it is essential to ask the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can bypass the administrative overhead of insurance claims processing and result in immediate liquidity benefits for the patient.
The facility's Medicare benchmarking rate of $126.25 serves as a critical baseline for evaluating pricing fairness, with commercial negotiated rates frequently exceeding this federal standard. Although the facility is in-network for most major carriers, the wide variance in allowed amounts—spanning from $81 for Kansas Health to $372 for Multiplan—highlights the importance of verifying your specific plan's allowed amount prior to service. Additionally, under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, but they should still request a detailed, itemized bill to ensure no unbundled codes or services not rendered are included in the final charge.