CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Baptist Beaumont Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $198
  • Cash Discount Price: $197
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Baptist Beaumont Hospital is $198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $197. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.57x the Medicare baseline. Located in 3080 College Street, Beaumont, TX.
Cash / Self-Pay
$197

Average discount available for prompt cash payment at this facility.

Insurance Median
$198

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: $197 (156%)
Insurance Median: $198 (157%)
Cash: $197 (156% of Medicare)
Ins. Median: $198 (157% 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 $117 - $308 93%
Ameri-Plus Ppo-All Plans $117 93%
Blue Cross Blue Shield $117 - $222 93%
Cigna $117 - $658 93%
Superior Health Plan Mcr Adv $117 93%
Texan Plus-All Plans $117 93%
Superior Health Plan Comm - All Other Plans $135 107%
Texas Exchange Plans - All Plans $135 107%
Americhoice - All Plans $152 120%
Amerigroup - All Plans $152 120%
Community Health Choice - All Plans $152 120%
Medicaid / KanCare $152 - $197 120%
Tchp Chips - All Plans $152 120%
Beacon Health - All Plans $174 138%
Correctcare - All Plans $176 139%
Naphcare Inc - All Plans $176 139%
Texas School Health Benefits - All Plans $176 139%
Preferred Care Services - All Plans $199 158%
Brookshire Brothers - All Plans $264 209%
Signature Health - All Plans $474 375%
Central Healthcare Services - All Plans $758 600%
Humana $758 - $916 600%
Mhhnp-All Plans $758 600%
Imagine Healthcare (Smartcare) - All Plans $834 661%
Pponext - All Plans $985 780%
Multiplan - All Plans $1,061 840%
Phcs - All Plans $1,061 840%
First Health - All Plans $1,137 901%
Healthsmart - All Plans $1,137 901%
Managed Healthcare Inc - All Plans $1,137 901%
Blue Bell - All Plans $1,213 961%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3080 College Street, Beaumont, TX 77701
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals