CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: De Tar Hospital Navarro

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $87
  • Cash Discount Price: $266
  • vs. Medicare Baseline: 0.69x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at De Tar Hospital Navarro is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $266. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.69x the Medicare baseline. Located in 506 E San Antonio St, Victoria, TX.
Cash / Self-Pay
$266

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: $266 (211%)
Insurance Median: $87 (69%)
Cash: $266 (211% 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.

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
Humana $42 - $85 33%
Medicare (plans) $42 - $85 33%
UnitedHealthcare $42 - $297 33%
Blue Cross Blue Shield $43 - $222 34%
Node Hospice Non Par Agree $43 - $87 34%
Node Triwest $43 - $87 34%
Node Va $43 - $87 34%
Aetna $44 - $594 35%
American Health Mcr Adv $44 - $88 35%
Node Amerigroup Mcr Adv $45 - $89 36%
Node Procare Mcr Adv $45 - $89 36%
Provider Partners Health Plan $45 - $89 36%
Superior $45 - $176 36%
Industrial Rehab $50 - $100 40%
Medicaid / KanCare $53 - $173 42%
Scott & White $53 42%
Node Brookshire Brothers $76 - $151 60%
Node Brookshire Brothers Work Comp Tx $80 - $161 63%
Tricare $80 - $85 63%
Department Of Veterans Affairs $85 67%
Veterans Eval Services $85 67%
Work Comp $87 - $173 69%
Elap $95 - $190 75%
Node Us Dept Of Labor $103 - $206 82%
Amerigroup $124 98%
Dars $240 190%
Tx Workforce Commission $240 190%
Cigna $248 - $448 196%
Healthsmart $573 - $729 454%
Multiplan $677 - $834 536%
First Health $709 562%
Medcorp Southwest Inc $729 577%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 E San Antonio St, Victoria, TX 77901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals