CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Texas Health Presbyterian Hospital Kaufman

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $253
Cash Discount Price: $313
vs. Medicare Baseline: 2.00x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Texas Health Presbyterian Hospital Kaufman is $253. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $313. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 2.00x the Medicare baseline. Located in 850 Ed Hall, Kaufman, TX.

Cash / Self-Pay

$313

Average discount available for prompt cash payment at this facility.

Insurance Median

$253

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: $313 (248%)

Insurance Median: $253 (200%)

Cash: $313 (248% of Medicare)

Ins. Median: $253 (200% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 200% of the Medicare baseline (a markup of 100%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$49 - $127	39%
Blue Cross Blue Shield	$49 - $785	39%
Parkland	$49	39%
UnitedHealthcare	$49 - $276	39%
Superior Wellcare	$51 - $133	40%
Molina	$53 - $127	42%
American Health	$121	96%
Healthspring	$123	97%
Humana	$126	100%
Aetna	$177 - $366	140%
Fort Worth Firefighters	$181 - $319	143%
Cigna	$236 - $491	187%
City Of Fort Worth	$245	194%
Quick Trip	$371	294%
Phcs	$437	346%
Healthsmart	$454 - $501	360%
Multiplan	$454	360%
Galaxy	$460	364%
Usa	$460	364%

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 $313.
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 Texas Health Presbyterian Hospital Kaufman 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.