CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Las Palmas Medical Center A Campus of Lpds Healthc

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $339
  • Cash Discount Price: $1,350
  • vs. Medicare Baseline: 2.69x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Las Palmas Medical Center A Campus of Lpds Healthc is $339. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,350. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 2.69x the Medicare baseline. Located in 1801 North Oregon Street, El Paso, TX.
Cash / Self-Pay
$1,350

Average discount available for prompt cash payment at this facility.

Insurance Median
$339

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: $1,350 (1069%)
Insurance Median: $339 (269%)
Cash: $1,350 (1069% of Medicare)
Ins. Median: $339 (269% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 269% of the Medicare baseline (a markup of 169%). 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
El Paso First Health Plans $72 - $79 57%
Superior Health Plan $78 - $134 62%
Blue Cross Blue Shield $85 - $425 67%
Triwest Health Alliance $85 67%
Wellmed $86 68%
Amerigroup $87 69%
Arcadian Health Plan $87 69%
Cigna $87 - $408 69%
Devoted Health $87 69%
St David’S Hospice $87 69%
Triwest Healthcare Alliance $87 69%
UnitedHealthcare $87 - $216 69%
Aetna $88 70%
United $88 - $633 70%
Alignment Health Plan $89 70%
Wellcare Of Tx $89 70%
American Health Plan Of Texas $91 72%
Clover Insurance Company $91 72%
Shared Health $91 72%
Western Sky Community Care $91 72%
Provider Partners Health Plan $92 73%
Pyramid Life $93 74%
Imperial Insurance $95 75%
Molina Healthcare Mcr $104 82%
Universal Health Pffs Nc $104 82%
Bravo Health $117 93%
Corvel Corporation $171 135%
Molina Healthcare $177 140%
Bienvivir Senior Health $220 - $239 174%
Healthcare Highways $248 - $270 196%
Curative Administrators $518 - $562 410%
First Health $582 - $633 461%
Healthsmart Preferred Care $582 - $773 461%
Emerging Therapy Solutions $595 - $970 471%
Sheriff'S Dept El Paso County Detention $647 - $703 512%
Ysleta Del Sur Pueblo $647 - $703 512%
Southwest Medical Provider Network $712 - $773 564%
Advantage Care Network $776 - $844 615%
El Paso First Health Plan $776 - $844 615%
Prime Health $776 - $844 615%
Texas Workforce Commission $815 - $886 646%
Multiplan $841 - $914 666%
Phcs $841 - $914 666%
Integrated Medical Systems $906 - $984 718%
Samsa $906 - $984 718%
Danmark - International Contract $970 - $1,054 768%
Galaxy Health Network $970 - $1,054 768%
Medcorp Southwest $1,035 - $1,125 820%
Usa Managed Care $1,061 - $1,336 840%
Affiliated Healthcare $1,100 - $1,195 871%
National Provider Network $1,165 - $1,265 923%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1801 North Oregon Street, El Paso, TX 79902
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals