CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: St David's Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $140
  • Cash Discount Price: $634
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at St David's Medical Center is $140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $634. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.89x the Medicare baseline. Located in 919 E 32Nd St, Austin, TX.
Cash / Self-Pay
$634

Average discount available for prompt cash payment at this facility.

Insurance Median
$140

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)
Cash / Self-Pay: $634 (404%)
Insurance Median: $140 (89%)
Cash: $634 (404% of Medicare)
Ins. Median: $140 (89% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 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
Amerigroup $19 - $110 12%
Superior Health Plan $24 - $134 15%
Moda $33 - $185 21%
United $35 - $355 22%
Covenant Management Systems $40 - $227 25%
Healthcare Highways $40 - $236 25%
Imo Med - Select Network $42 - $236 27%
Blue Cross Blue Shield $44 - $368 28%
Nomi Health $44 - $292 28%
Moda Health $50 - $292 32%
Evry Health $51 - $290 32%
Texas Healthcare Foundation Heb $51 - $292 32%
Texas Workforce Commission $54 - $307 34%
Curative Administrators $56 - $315 36%
Harbor Health Team $56 - $315 36%
Comanche County $70 - $394 45%
Healthsmart Preferred Care $76 - $630 48%
Independent Medical Systems $76 - $433 48%
Prime Health $83 - $473 53%
First Health $88 - $567 56%
National Health Care $90 - $512 57%
Triwest Health Alliance $102 - $113 65%
Wellmed $102 - $113 65%
Aetna $105 - $1,066 67%
Cigna $105 - $117 67%
Devoted Health $105 - $117 67%
Humana $105 - $117 67%
Odyssey Hospice $105 - $117 67%
St David’S Hospice $105 - $117 67%
Triwest Healthcare Alliance $105 - $117 67%
American Health Plan Of Texas $110 - $123 70%
Shared Health $110 - $123 70%
Provider Partners Health Plan $111 - $124 71%
Texas Independent Health Plan $111 - $124 71%
Wellcare $111 - $124 71%
Pyramid Life $112 - $125 71%
Molina Healthcare $114 - $127 73%
Imperial Insurance $115 - $129 73%
Triwest Veterans $117 75%
Beech Street $125 - $709 80%
Multiplan $125 - $709 80%
Universal Health $126 - $140 80%
Austin Fc $131 - $146 83%
Sendero $142 - $200 90%
Naphcare $163 - $181 104%
Seven Corners $181 115%
Corvel Corporation $208 - $231 133%
Averde Health $351 - $355 224%
National Choicecare $390 - $394 248%
Physicians Cooperative Of Texas $430 - $433 274%
Coastal Comp Health Networks $508 - $512 324%
Occunet $547 - $552 348%
Texas Municipal League $547 - $552 348%
Medcorp Southwest $586 - $591 373%
Rockport Healthcare Group $625 - $709 398%
Bce Emergis Corporation $703 - $709 448%
Medical Control Network Solutions $703 - $709 448%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 919 E 32Nd St, Austin, TX 78705
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals