CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Texas Health Presbyterian Hospital Kaufman

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $282
Cash Discount Price: $366
vs. Medicare Baseline: 1.80x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Texas Health Presbyterian Hospital Kaufman is $282. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $366. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.80x the Medicare baseline. Located in 850 Ed Hall, Kaufman, TX.

Cash / Self-Pay

$366

Average discount available for prompt cash payment at this facility.

Insurance Median

$282

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: $366 (233%)

Insurance Median: $282 (180%)

Cash: $366 (233% of Medicare)

Ins. Median: $282 (180% 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
Amerigroup	$57 - $158	36%
Blue Cross Blue Shield	$57 - $950	36%
Parkland	$57	36%
UnitedHealthcare	$57 - $276	36%
Superior Wellcare	$60 - $166	38%
Molina	$62 - $158	39%
American Health	$151	96%
Healthspring	$154	98%
Humana	$157	100%
Fort Worth Firefighters	$181 - $373	115%
Aetna	$207 - $428	132%
Cigna	$236 - $574	150%
City Of Fort Worth	$287	183%
Quick Trip	$433	276%
Phcs	$510	325%
Healthsmart	$531 - $586	338%
Multiplan	$531	338%
Galaxy	$537	342%
Usa	$537	342%

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 $366.
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 Texas Health Presbyterian Hospital Kaufman 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.