CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: HCA Houston Healthcare Conroe

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $217
  • Cash Discount Price: $975
  • vs. Medicare Baseline: 1.72x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at HCA Houston Healthcare Conroe is $217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $975. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.72x the Medicare baseline. Located in 504 Medical Center Blvd, Conroe, TX.
Cash / Self-Pay
$975

Average discount available for prompt cash payment at this facility.

Insurance Median
$217

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: $975 (772%)
Insurance Median: $217 (172%)
Cash: $975 (772% of Medicare)
Ins. Median: $217 (172% 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
Superior Health Plan $55 - $91 44%
Oscar $85 67%
Wellmed $86 68%
Aetna $87 - $987 69%
Amerigroup $87 - $145 69%
Blue Cross Blue Shield $87 - $412 69%
Christus (Usfhp) $87 69%
Cigna $87 - $665 69%
Devoted Health $87 69%
Geo Group - Joe Corley Detention Facility $87 69%
Humana $87 - $1,751 69%
Kelsey Seybold $87 69%
Triwest Healthcare Alliance $87 69%
Van Lang Ipa $87 69%
United $88 - $465 70%
Integranet Amerigroup Ipa $89 70%
Wellcare $89 70%
American Health Plan $91 72%
Procare Advantage $91 72%
Shared Health $91 72%
Provider Partners Health Plan Of Texas $92 73%
Molina $94 74%
Universal Healthcare Group $104 82%
Verda Health Plan $112 89%
Community Health Choice Mcd $119 - $134 94%
Community Health Choice $125 99%
Superior $125 - $134 99%
Corvel Corporation $171 135%
Omni Healthcare $182 144%
Molina Healthcare $186 147%
Texas Childrens Health Plans $187 - $245 148%
Tx Workforce Commission $220 - $248 174%
Evry Health $251 - $282 199%
Healthcare Highways $274 217%
Texas Athletic Network $300 - $600 238%
Imagine Health $321 - $361 254%
Curative Administrators $367 - $413 291%
Healthsmart Preferred Care $395 - $878 313%
Averde Health $413 - $465 327%
Fidelis Securecare Of Tx $413 - $465 327%
Coventry National First Health $489 - $550 387%
Physicians Cooperative Of Texas $505 - $568 400%
Rockport Workers Comp $505 - $568 400%
Independent Medical System $551 - $620 436%
National Healthcare Solutions $551 - $620 436%
Southwest Medical $551 - $620 436%
Coastal Comp $597 - $671 473%
Multiplan $688 - $878 545%
Physicians, Inc $780 - $878 618%
Affiliated Ppo $826 - $929 654%

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