CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $522
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 3.33x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at University of Texas M. D. Anderson Cancer Center is $522. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 3.33x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$522

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)
Insurance Median: $522 (333%)
Ins. Median: $522 (333% of 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 333% of the Medicare baseline (a markup of 233%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Texaschildrens $34 - $326 22%
Tricare $39 - $555 25%
Vacare $39 - $326 25%
Aetna $40 - $555 25%
Medicare (plans) $56 - $326 36%
Blue Cross Blue Shield $71 - $533 45%
Cigna $100 - $555 64%
Humana $283 - $570 180%
UnitedHealthcare $330 - $555 210%
Ontarioministriesofhealth $349 - $548 222%
Beijingst.Lucia $353 - $555 225%
Embassyofqatar $353 - $555 225%
Memorialhermannhealth $353 - $555 225%
Emergingtherapysolutions_Cancercare $377 - $592 240%
Interlink_Cancercare $377 - $592 240%
Saudiarmedforces $377 - $592 240%
Uae_Medical $377 - $592 240%
Uaepoliceattache $377 - $592 240%
Healthsmart $400 - $629 255%
Vantage $400 - $629 255%
Multiplan $424 - $636 270%
Phcs $424 - $636 270%
Emergingtherapysolutions $555 - $592 354%
Interlink $555 - $629 354%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Holcombe Blvd, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL