CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Houston Healthcare Conroe

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $454
  • Cash Discount Price: $1,939
  • vs. Medicare Baseline: 2.89x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Houston Healthcare Conroe is $454. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,939. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.89x the Medicare baseline. Located in 504 Medical Center Blvd, Conroe, TX.
Cash / Self-Pay
$1,939

Average discount available for prompt cash payment at this facility.

Insurance Median
$454

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: $1,939 (1235%)
Insurance Median: $454 (289%)
Cash: $1,939 (1235% of Medicare)
Ins. Median: $454 (289% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 289% of the Medicare baseline (a markup of 189%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Oscar $103 66%
Wellmed $104 66%
Amerigroup $105 - $384 67%
Blue Cross Blue Shield $105 - $959 67%
Christus (Usfhp) $105 67%
Cigna $105 - $665 67%
Devoted Health $105 67%
Geo Group - Joe Corley Detention Facility $105 67%
Humana $105 - $2,118 67%
Kelsey Seybold $105 67%
Triwest Healthcare Alliance $105 67%
Aetna $106 - $1,195 68%
Van Lang Ipa $106 68%
United $107 - $1,234 68%
Integranet Amerigroup Ipa $108 69%
Wellcare $108 69%
Superior Health Plan $109 - $164 69%
American Health Plan $110 70%
Procare Advantage $110 70%
Shared Health $110 70%
Provider Partners Health Plan Of Texas $111 71%
Molina $114 73%
Universal Healthcare Group $126 80%
Verda Health Plan $136 87%
Community Health Choice $152 97%
Superior $152 - $163 97%
Corvel Corporation $208 133%
Omni Healthcare $220 140%
Molina Healthcare $226 144%
Community Health Choice Mcd $237 - $356 151%
Healthcare Highways $274 175%
Texas Athletic Network $300 - $600 191%
Texas Childrens Health Plans $372 - $650 237%
Tx Workforce Commission $438 - $658 279%
Evry Health $498 - $748 317%
Imagine Health $639 - $959 407%
Curative Administrators $730 - $1,096 465%
Healthsmart Preferred Care $785 - $2,330 500%
Averde Health $821 - $1,234 523%
Fidelis Securecare Of Tx $821 - $1,234 523%
Coventry National First Health $973 - $1,461 620%
Physicians Cooperative Of Texas $1,004 - $1,508 640%
Rockport Workers Comp $1,004 - $1,508 640%
Independent Medical System $1,095 - $1,645 698%
National Healthcare Solutions $1,095 - $1,645 698%
Southwest Medical $1,095 - $1,645 698%
Coastal Comp $1,186 - $1,782 756%
Multiplan $1,368 - $2,330 871%
Physicians, Inc $1,551 - $2,330 988%
Affiliated Ppo $1,642 - $2,467 1046%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 504 Medical Center Blvd, Conroe, TX 77304
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals