CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Knapp Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $87
Cash Discount Price: $86
vs. Medicare Baseline: 0.69x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Knapp Medical Center is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.69x the Medicare baseline. Located in 1401 East Eight Street, Weslaco, TX.

Cash / Self-Pay

$86

Average discount available for prompt cash payment at this facility.

Insurance Median

$87

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: $86 (68%)

Insurance Median: $87 (69%)

Cash: $86 (68% of Medicare)

Ins. Median: $87 (69% 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.

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	$61	48%
Zelis Healthcare Fka Stratose	$65	51%
Provider Network Of America	$69	55%
Provider Select	$76	60%
Three Rivers	$78	62%
Americas Choice Provider Network (Acpn)	$84	67%
Division Of Immigration Health	$85	67%
Blue Cross Blue Shield	$87 - $359	69%
Cigna	$87 - $89	69%
Coventry (First Health)	$87	69%
Medicare (plans)	$87	69%
Prime Health Services	$87	69%
Superior Health Plan	$87 - $112	69%
Texas Bluebonnet Health Plan	$87 - $143	69%
Tricare	$87	69%
UnitedHealthcare	$87	69%
Veterans Evaluation Services	$87	69%
Wellmed Aarp Ma Fka Physicians Health Choice	$87	69%
Worker Comp	$87	69%
Molina	$91 - $134	72%
Multiplan	$91	72%
Provider Partners Health Plan	$91	72%
Imperial Insurance Companies	$92	73%
Texas Oncology Pa Op	$108	86%
Frontier Health (Fka Asserta Health)	$112	89%
Magic Valley Electric Cooperative	$112	89%
Employer Direct Healthcare	$121	96%
Corporate Remedies (Wc)	$130	103%
Naphcare	$134	106%
Occunet	$151	120%
Baker Benefits Administrators	$173	137%

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 $86.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77067.

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 77067.
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.