CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Methodist Hospital Atascosa

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $188
Cash Discount Price: $1,009
vs. Medicare Baseline: 1.49x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Methodist Hospital Atascosa is $188. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,009. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.49x the Medicare baseline. Located in 1905 Hwy 97 East, Jourdanton, TX.

Cash / Self-Pay

$1,009

Average discount available for prompt cash payment at this facility.

Insurance Median

$188

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: $1,009 (799%)

Insurance Median: $188 (149%)

Cash: $1,009 (799% of Medicare)

Ins. Median: $188 (149% 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
Superior Health	$50 - $91	40%
Wellmed	$82	65%
Triwest Va Pccc	$85	67%
Blue Cross Blue Shield	$87 - $400	69%
Devoted Health	$87	69%
Gonzaba Medical Group	$87	69%
Ilumed	$87	69%
Triwest	$87	69%
Triwest Health Alliance	$87	69%
Aetna	$88 - $640	70%
United	$88 - $462	70%
Integranet	$89	70%
Wellcare	$89	70%
American Health Plan Of Texas	$91	72%
Clover Insurance	$91	72%
Texas Independent Health Plan	$92	73%
Community First Health Plans	$119 - $277	94%
Focus Healthcare Management	$121	96%
Imperial Insurance	$188 - $195	149%
Focus Health Solutions	$297 - $308	235%
Healthcare Highways	$305 - $316	242%
Valenz	$347 - $359	275%
Evry Health	$365 - $378	289%
Curative Administrators	$396 - $411	314%
Healthsmart Preferred Care	$545 - $565	432%
Multiplan	$743 - $873	589%

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 $1,009.
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 Methodist Hospital Atascosa 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.