CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Methodist Hospital Atascosa

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $195
Cash Discount Price: $1,047
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Methodist Hospital Atascosa is $195. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,047. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.24x the Medicare baseline. Located in 1905 Hwy 97 East, Jourdanton, TX.

Cash / Self-Pay

$1,047

Average discount available for prompt cash payment at this facility.

Insurance Median

$195

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: $1,047 (667%)

Insurance Median: $195 (124%)

Cash: $1,047 (667% of Medicare)

Ins. Median: $195 (124% 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
Superior Health	$51 - $110	32%
Wellmed	$99	63%
Triwest Va Pccc	$103	66%
Blue Cross Blue Shield	$105 - $484	67%
Devoted Health	$105	67%
Gonzaba Medical Group	$105	67%
Ilumed	$105	67%
Triwest	$105	67%
Triwest Health Alliance	$105	67%
Aetna	$107 - $774	68%
United	$107 - $480	68%
Integranet	$108	69%
Wellcare	$108	69%
American Health Plan Of Texas	$110	70%
Clover Insurance	$110	70%
Texas Independent Health Plan	$111	71%
Community First Health Plans	$123 - $288	78%
Focus Healthcare Management	$147	94%
Imperial Insurance	$195 - $203	124%
Focus Health Solutions	$308 - $320	196%
Healthcare Highways	$316 - $329	201%
Valenz	$359 - $373	229%
Evry Health	$378 - $393	241%
Curative Administrators	$411 - $427	262%
Healthsmart Preferred Care	$565 - $587	360%
Multiplan	$770 - $907	491%

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 $1,047.
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 Methodist Hospital Atascosa 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.