CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Christus Santa Rosa Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $193
  • Cash Discount Price: $171
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Christus Santa Rosa Medical Center is $193. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $171. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.53x the Medicare baseline. Located in 11212 State Hwy 151, San Antonio, TX.
Cash / Self-Pay
$171

Average discount available for prompt cash payment at this facility.

Insurance Median
$193

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: $171 (135%)
Insurance Median: $193 (153%)
Cash: $171 (135% of Medicare)
Ins. Median: $193 (153% 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
Aetna $58 - $230 46%
Blue Cross Blue Shield $58 - $442 46%
Community First $58 - $64 46%
Driscoll Children'S Health Plan $58 46%
El Paso First $58 46%
First Care $58 46%
Superior $58 46%
Amerigroup $64 - $212 51%
Texas Childrens Health Plan $64 51%
Christus Health $80 - $111 63%
UnitedHealthcare $95 - $197 75%
Molina $159 126%
Five Point Credit Union $189 150%
Cigna $203 - $256 161%
Imperial Health Plan $212 168%
Community First Health Plan $233 185%
Humana $250 198%
Healthcare Highways $263 208%
Devoted Health Plan $265 210%
Christian Brothers Services $292 231%
Naphcare Inc. $318 252%
First Health $344 272%
Healthsmart $344 - $424 272%
Multiplan $344 272%
Phcs $344 272%
Medicus Internatiaonal $398 315%
Beech Street $424 336%
Health Management Network $424 336%
Provider Select $424 336%
Triwest $450 356%
National Choicecare $504 399%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11212 State Hwy 151, San Antonio, TX 78251
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals