CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Baylor Scott & White Medical Center Hillcrest

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $316
Cash Discount Price: $315
vs. Medicare Baseline: 2.01x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Baylor Scott & White Medical Center Hillcrest is $316. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $315. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.01x the Medicare baseline. Located in 100 Hillcrest Medical Blvd, Waco, TX.

Cash / Self-Pay

$315

Average discount available for prompt cash payment at this facility.

Insurance Median

$316

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: $315 (201%)

Insurance Median: $316 (201%)

Cash: $315 (201% of Medicare)

Ins. Median: $316 (201% 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 201% of the Medicare baseline (a markup of 101%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$63	40%
Texas Workforce Commission	$173	110%
Baylor Scott & White Health Plan	$191 - $225	122%
UnitedHealthcare	$237 - $432	151%
Cigna	$270 - $317	172%
Aetna	$289	184%
Midcoast	$289	184%
Quiktrip	$289	184%
Imagine Health	$301	192%
University Of Mary Hardin-Baylor	$304	194%
Independent Medical System	$315	201%
Curative	$341	217%
Humana	$341 - $368	217%
First Health	$368	234%
Healthsmart	$368 - $394	234%
Blue Cross Blue Shield	$379 - $462	241%
Private Health Care System	$394	251%
Triwest	$394	251%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $315.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baylor Scott & White Medical Center Hillcrest is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.