Screening mammogram (both breasts)
Facility: Greeley County Health Services
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $79
- Cash Discount Price: $144
- vs. Medicare Baseline: 0.63x 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 $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.
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 |
|---|---|---|
| Aetna | $58 | 46% |
| Medicaid / KanCare | $58 | 46% |
| Veterans Affairs Community Care Network | $100 | 79% |
| Blue Cross Blue Shield | $160 | 127% |
Consumer Guidance & Cost Commentary
For the screening mammogram (both breasts) at Greeley County Health Services, the facility's cash price of $144.00 is lower than the negotiated rates charged to major payers, including Aetna, Medicaid/KanCare, Veterans Affairs, and Blue Cross Blue Shield, which range from $58 to $160. While cash payment may appear more expensive than the lowest negotiated rate of $58, it is important to note that for patients with high-deductible plans, paying the cash price of $144.00 upfront can sometimes result in lower out-of-pocket costs compared to insurance claims where the deductible has not yet been met. Additionally, patients should verify if the facility offers "self-pay" or "prompt-pay" discounts, which could further reduce the final amount owed before any insurance processing occurs.
This service is provided by a Critical Access Hospital in Tribune, Kansas, and the facility is owned by the local government. The Medicare benchmark for this procedure is $126.25, which serves as a baseline for evaluating the facility's pricing structure. Although the data does not include specific state or county average comparisons for this code, the facility's cash rate of $144.00 is only 14% higher than the Medicare amount, suggesting a relatively transparent pricing model compared to typical commercial markups. Patients are encouraged to request an itemized bill to ensure no unbundled charges or services not rendered are included, as over 80% of hospital bills contain errors that can be corrected through a formal audit dispute.