Kalkaska Memorial Health Center — Mammogram prices
← Hospital overviewVerified from Kalkaska Memorial Health Center’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
24 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| MA Exams Inpatient | 77066 CPT | $391 | $332 | $289 – $852 | — | |
| MA Exams Inpatient | 77065 CPT | $324 | $275 | $240 – $852 | — | |
| MA Exams Inpatient | 77067 CPT | $333 | $283 | $246 – $852 | — | |
| MA FFD MAMM DIAGNOSTIC BILAT Inpatient | 77066 CPT | $391 | $332 | $289 – $852 | — | |
| MA FFD MAMM DIAGNOSTIC FOLLOW SCRN BIL Inpatient | 77066 CPT | $391 | $332 | $289 – $852 | — | |
| MA FFD MAMM DIAGNOSTIC FOLLOW SCRN LT Inpatient | 77065 CPT | $324 | $275 | $240 – $852 | — | |
| MA FFD MAMM DIAGNOSTIC FOLLOW SCRN RT Inpatient | 77065 CPT | $324 | $275 | $240 – $852 | — | |
| MA FFD MAMM DIAGNOSTIC UNI LT Inpatient | 77065 CPT | $308 | $262 | $228 – $852 | — | |
| MA FFD MAMM DIAGNOSTIC UNI RT Inpatient | 77065 CPT | $324 | $275 | $240 – $852 | — | |
| MA FFD MAMM DIAGNOSTIC W/ CONT BIL Inpatient | 77066 CPT | $369 | $314 | $273 – $852 | — | |
| MA FFD MAMM DIAGNOSTIC W/ CONT LT Inpatient | 77065 CPT | $306 | $260 | $226 – $852 | — | |
| MA FFD MAMM DIAGNOSTIC W/ CONT RT Inpatient | 77065 CPT | $306 | $260 | $226 – $852 | — | |
| MA FFD MAMM SCREEN BILATERAL Inpatient | 77067 CPT | $344 | $292 | $255 – $852 | — | |
| MA FFD MAMM SCREEN LT UNI Inpatient | 77067 CPT | $260 | $221 | $192 – $852 | — | |
| MA FFD MAMM SCREEN RT UNI Inpatient | 77067 CPT | $344 | $292 | $255 – $852 | — | |
| MA MAMM 3D DIAGNOSTIC BIL Inpatient | 77066 CPT | $379 | $322 | $280 – $852 | — | |
| MA MAMM 3D DIAGNOSTIC LT Inpatient | 77065 CPT | $299 | $254 | $221 – $852 | — | |
| MA MAMM 3D DIAGNOSTIC RT Inpatient | 77065 CPT | $338 | $287 | $250 – $852 | — | |
| MA MAMM 3D DIAGNOSTIC W/ CONT BIL Inpatient | 77066 CPT | $369 | $314 | $273 – $852 | — | |
| MA MAMM 3D DIAGNOSTIC W/ CONT LT Inpatient | 77065 CPT | $306 | $260 | $226 – $852 | — | |
| MA MAMM 3D DIAGNOSTIC W/ CONT RT Inpatient | 77065 CPT | $306 | $260 | $226 – $852 | — | |
| MA MAMM 3D SCREENING BIL Inpatient | 77067 CPT | $333 | $283 | $246 – $852 | — | |
| MA MAMM 3D SCREENING LT Inpatient | 77067 CPT | $252 | $214 | $186 – $852 | — | |
| MA MAMM 3D SCREENING RT Inpatient | 77067 CPT | $344 | $292 | $255 – $852 | — |