CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Knapp Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $105
Cash Discount Price: $104
vs. Medicare Baseline: 0.67x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Knapp Medical Center is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.67x the Medicare baseline. Located in 1401 East Eight Street, Weslaco, TX.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$105

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: $104 (66%)

Insurance Median: $105 (67%)

Cash: $104 (66% of Medicare)

Ins. Median: $105 (67% 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.

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
Corvel	$73	47%
Zelis Healthcare Fka Stratose	$79	50%
Provider Network Of America	$84	54%
Provider Select	$92	59%
Three Rivers	$94	60%
Americas Choice Provider Network (Acpn)	$102	65%
Division Of Immigration Health	$103	66%
Blue Cross Blue Shield	$105 - $435	67%
Cigna	$105 - $108	67%
Coventry (First Health)	$105	67%
Medicare (plans)	$105	67%
Prime Health Services	$105	67%
Superior Health Plan	$105 - $136	67%
Texas Bluebonnet Health Plan	$105 - $173	67%
Tricare	$105	67%
UnitedHealthcare	$105	67%
Veterans Evaluation Services	$105	67%
Wellmed Aarp Ma Fka Physicians Health Choice	$105	67%
Worker Comp	$105	67%
Molina	$110 - $163	70%
Multiplan	$110	70%
Provider Partners Health Plan	$110	70%
Imperial Insurance Companies	$111	71%
Texas Oncology Pa Op	$131	83%
Frontier Health (Fka Asserta Health)	$136	87%
Magic Valley Electric Cooperative	$136	87%
Employer Direct Healthcare	$147	94%
Corporate Remedies (Wc)	$157	100%
Naphcare	$163	104%
Occunet	$184	117%
Baker Benefits Administrators	$210	134%

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 $104.
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 Knapp Medical Center 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.