CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Oakbend Medical Center

Billing Code: 77067 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$165

about 1.3× the $126 Medicare rate · typically $92–$317

modeled estimate · not a bill or quote

What this hospital charges insurers

$131

Below the fair price — a good deal

about $34 under the fair price · 1.0× Medicare

Medicare pays $126 Fair price $165 This hospital $131 Cash price $97 Hospital's list price $486

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $34 Priciest $131

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Screening mammogram (both breasts) is about $165 (about 1.3× the $126 Medicare rate). Oakbend Medical Center charges insurers about $131, or about $97 in cash — below the fair price — a good deal. Located in Richmond, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$131	104%
Blue Cross Blue Shieldmajor	$86 - $131	68%
Aetnamajor	$233	185%
Cignamajor	$151	120%
Humanamajor	$292 - $316	231%
Ambetter (Centene)	$121 - $559	96%
Friday Health	$121 - $151	96%
Oscar Health	$608	482%
WellCare	$510	404%
+ 1 smaller / regional plan	$535

Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 97), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77067.

Insurance Before you use insurance

Call your insurance company to confirm Oakbend Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 77067.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Oakbend Medical Center

Compare: Screening mammogram (both breasts) at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.