Diagnostic mammogram (both breasts)
Facility: Greeley County Health Services
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $60
- Cash Discount Price: $144
- vs. Medicare Baseline: 0.38x 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 |
|---|---|---|
| Medicaid / KanCare | $60 | 38% |
| Aetna | $60 | 38% |
| Blue Cross Blue Shield | $160 | 102% |
Consumer Guidance & Cost Commentary
For this diagnostic mammogram at Greeley County Health Services, the facility's cash median price of $144.00 is significantly lower than the negotiated rates paid by commercial insurers, which range from $60 to $160 depending on the plan. While Medicaid and Aetna contracts set a floor at $60, Blue Cross Blue Shield negotiates a higher rate of $160, illustrating how in-network status does not guarantee the lowest possible price. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the $144.00 rate avoids the administrative overhead and markup often embedded in commercial contracts. It is important to note that the facility's cash rate is also compared against the state average, where commercial negotiated rates typically sit higher due to the multi-layered administrative structures required for insurance billing.
To maximize savings, patients should proactively request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing costly claims processing. Since the facility is a Critical Access Hospital with government local ownership, verifying the specific allowed amount for your insurance plan is crucial, as some in-network providers charge significantly more than others for the same CPT code. Additionally, because Medicare sets the benchmark at $156.98 for this service, the commercial negotiated rates reflect the standard markup found in the healthcare system, but the cash option offers a direct path to a lower total cost without the risk of balance billing or unexpected secondary charges.