CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Methodist Hospital

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$119

about 0.9× the $126 Medicare rate · typically $92–$192

modeled estimate · not a bill or quote

What this hospital charges insurers

$92

Below the fair price — a good deal

about $27 under the fair price · 0.7× Medicare

Medicare pays $126 Fair price $119 This hospital $92 Cash price $1,009 Hospital's list price $1,009

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 $92

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 Screening mammogram (both breasts) is about $119 (about 0.9× the $126 Medicare rate). Methodist Hospital charges insurers about $92, or about $1,009 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	$87 - $1,026	69%
Blue Cross Blue Shieldmajor	$87 - $403	69%
Aetnamajor	$88 - $640	70%
Cignamajor	$287 - $298	227%
Humanamajor	$644 - $667	510%
Amerigroup	$87 - $144	69%
Clover Health	$91	72%
Devoted Health	$87	69%
Fidelis Care	$446 - $462	353%
Health Net	$644 - $667	510%
Healthcare Highways	$305 - $316	242%
Independent Health	$92	73%
Molina	$138	109%
WellCare	$89	70%
WellMed	$82	65%
+ 27 smaller / regional plans	$87 - $873

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 1,009), 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 Methodist Hospital 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 Methodist Hospital

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

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