CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Methodist Hospital

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$151

about 1.0× the $157 Medicare rate · typically $111–$238

modeled estimate · not a bill or quote

What this hospital charges insurers

$111

Below the fair price — a good deal

about $40 under the fair price · 0.7× Medicare

Medicare pays $157 Fair price $151 This hospital $111 Cash price $1,026 Hospital's list price $1,026

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 $46 Priciest $111

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Diagnostic mammogram (both breasts) is about $151 (about 1.0× the $157 Medicare rate). Methodist Hospital charges insurers about $111, or about $1,026 in cash — below the fair price — a good deal. Located in San Antonio, 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	$105 - $1,067	67%
Blue Cross Blue Shieldmajor	$105 - $488	67%
Aetnamajor	$107 - $774	68%
Cignamajor	$273 - $309	174%
Humanamajor	$612 - $693	390%
Amerigroup	$105 - $149	67%
Clover Health	$110	70%
Devoted Health	$105	67%
Fidelis Care	$423 - $480	269%
Health Net	$612 - $693	390%
Healthcare Highways	$290 - $329	185%
Independent Health	$111	71%
Molina	$167	106%
WellCare	$108	69%
WellMed	$99	63%
+ 27 smaller / regional plans	$105 - $907

Government programs also on file: Medicaid, Military & VA.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 1,026), 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: 77066.

Insurance Before you use insurance

Call your insurance company to confirm Methodist Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 77066.
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 Methodist Hospital

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

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