CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Houston Healthcare Southeast

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $234
  • Cash Discount Price: $997
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Houston Healthcare Southeast is $234. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $997. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.49x the Medicare baseline. Located in 4000 Spencer Hwy, Pasadena, TX.
Cash / Self-Pay
$997

Average discount available for prompt cash payment at this facility.

Insurance Median
$234

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%)
Cash / Self-Pay: $997 (635%)
Insurance Median: $234 (149%)
Cash: $997 (635% of Medicare)
Ins. Median: $234 (149% 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.

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
Superior Health Plan $36 - $116 23%
Community Health Choice Mcd $77 - $182 49%
Amerigroup $83 - $196 53%
Texas Childrens Health Plans $105 - $332 67%
Oscar $108 69%
Christus (Usfhp) $109 69%
Blue Cross Blue Shield $110 - $490 70%
Chc Harris Health $110 70%
Cigna $110 - $1,120 70%
Devoted Health $110 70%
Humana $110 - $2,118 70%
Kelsey Seybold $110 70%
Renaissance Ipa Radiology $110 70%
Triwest Healthcare Alliance $110 70%
Van Lang Ipa $111 71%
Wellmed $111 71%
United $112 - $630 71%
Integranet Amerigroup Ipa $113 72%
Wellcare $113 72%
American Health Plan $116 74%
Procare Advantage $116 74%
Shared Health $116 74%
Provider Partners Health Plan Of Texas $117 75%
Molina $120 76%
Kindred Hospital $127 81%
Universal Healthcare Group $132 84%
Texas Workforce Commission $143 - $336 91%
Verda Health Plan $143 91%
Community Health Choice $160 102%
Superior $160 - $171 102%
Evry Health $162 - $382 103%
Imagine Health $208 - $490 133%
Corvel Corporation $218 139%
Omni Healthcare $231 147%
Molina Healthcare $237 151%
Curative Administrators $238 - $560 152%
Healthsmart Preferred Care $256 - $1,190 163%
Averde Health $268 - $630 171%
Fidelis Securecare Of Tx $268 - $630 171%
Healthcare Highways $274 175%
Multiplan $297 - $1,260 189%
Texas Athletic Network $300 - $600 191%
Coventry National First Health $317 - $746 202%
Physicians Cooperative Of Texas $327 - $770 208%
Rockport Workers Comp $327 - $770 208%
Beech Street $357 - $1,120 227%
Independent Medical System $357 - $840 227%
National Healthcare Solutions $357 - $840 227%
Prime Health Services $357 - $840 227%
Southwest Medical $357 - $840 227%
Coastal Comp $386 - $910 246%
Fiesta Mart, Inc $446 - $1,050 284%
Physicians, Inc $505 - $1,190 322%
Affiliated Ppo $535 - $1,260 341%
Aetna $665 - $1,195 424%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Spencer Hwy, Pasadena, TX 77504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals