CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: HCA Houston Healthcare Southeast

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $177
  • Cash Discount Price: $835
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at HCA Houston Healthcare Southeast is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $835. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.40x the Medicare baseline. Located in 4000 Spencer Hwy, Pasadena, TX.
Cash / Self-Pay
$835

Average discount available for prompt cash payment at this facility.

Insurance Median
$177

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $835 (661%)
Insurance Median: $177 (140%)
Cash: $835 (661% of Medicare)
Ins. Median: $177 (140% of 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.

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 $50 - $95 40%
Oscar $89 70%
Christus (Usfhp) $90 71%
Amerigroup $91 - $117 72%
Blue Cross Blue Shield $91 - $388 72%
Chc Harris Health $91 72%
Cigna $91 - $668 72%
Devoted Health $91 72%
Humana $91 - $1,751 72%
Kelsey Seybold $91 72%
Renaissance Ipa Radiology $91 72%
Triwest Healthcare Alliance $91 72%
Wellmed $91 72%
United $92 - $376 73%
Van Lang Ipa $92 73%
Integranet Amerigroup Ipa $93 74%
Wellcare $93 74%
American Health Plan $95 75%
Procare Advantage $95 75%
Shared Health $95 75%
Provider Partners Health Plan Of Texas $96 76%
Molina $99 78%
Kindred Hospital $104 82%
Community Health Choice Mcd $109 86%
Universal Healthcare Group $109 86%
Verda Health Plan $118 93%
Community Health Choice $131 104%
Superior $131 - $141 104%
Texas Childrens Health Plans $147 - $198 116%
Corvel Corporation $180 143%
Omni Healthcare $190 150%
Molina Healthcare $195 154%
Texas Workforce Commission $200 158%
Evry Health $228 181%
Healthcare Highways $274 217%
Imagine Health $292 231%
Texas Athletic Network $300 - $600 238%
Curative Administrators $334 265%
Healthsmart Preferred Care $359 - $710 284%
Averde Health $376 298%
Fidelis Securecare Of Tx $376 298%
Multiplan $417 - $751 330%
Coventry National First Health $445 352%
Physicians Cooperative Of Texas $459 364%
Rockport Workers Comp $459 364%
Beech Street $501 - $668 397%
Independent Medical System $501 397%
National Healthcare Solutions $501 397%
Prime Health Services $501 397%
Southwest Medical $501 397%
Coastal Comp $543 430%
Aetna $549 - $987 435%
Fiesta Mart, Inc $626 496%
Physicians, Inc $710 562%
Affiliated Ppo $751 595%

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