CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: St David's Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $185
  • Cash Discount Price: $595
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at St David's Medical Center is $185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $595. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.47x the Medicare baseline. Located in 919 E 32Nd St, Austin, TX.
Cash / Self-Pay
$595

Average discount available for prompt cash payment at this facility.

Insurance Median
$185

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: $595 (471%)
Insurance Median: $185 (147%)
Cash: $595 (471% of Medicare)
Ins. Median: $185 (147% 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
Superior Health Plan $13 - $134 10%
Amerigroup $19 - $110 15%
Moda $33 - $185 26%
United $35 - $355 28%
Covenant Management Systems $40 - $227 32%
Healthcare Highways $40 - $236 32%
Imo Med - Select Network $42 - $236 33%
Blue Cross Blue Shield $44 - $304 35%
Nomi Health $44 - $292 35%
Moda Health $50 - $292 40%
Evry Health $51 - $290 40%
Texas Healthcare Foundation Heb $51 - $292 40%
Texas Workforce Commission $54 - $307 43%
Curative Administrators $56 - $315 44%
Harbor Health Team $56 - $315 44%
Comanche County $70 - $394 55%
Healthsmart Preferred Care $76 - $630 60%
Independent Medical Systems $76 - $433 60%
Prime Health $83 - $473 66%
Wellmed $84 - $94 67%
Triwest Health Alliance $85 - $94 67%
Aetna $87 - $881 69%
Cigna $87 - $96 69%
Devoted Health $87 - $96 69%
Humana $87 - $96 69%
Odyssey Hospice $87 - $96 69%
St David’S Hospice $87 - $96 69%
Triwest Healthcare Alliance $87 - $96 69%
First Health $88 - $567 70%
National Health Care $90 - $512 71%
American Health Plan Of Texas $91 - $101 72%
Shared Health $91 - $101 72%
Provider Partners Health Plan $92 - $102 73%
Texas Independent Health Plan $92 - $102 73%
Wellcare $92 - $102 73%
Pyramid Life $93 - $103 74%
Molina Healthcare $94 - $105 74%
Imperial Insurance $95 - $106 75%
Triwest Veterans $96 76%
Universal Health $104 - $116 82%
Austin Fc $108 - $121 86%
Sendero $117 - $165 93%
Averde Health $120 - $355 95%
Beech Street $125 - $709 99%
Multiplan $125 - $709 99%
Naphcare $134 - $149 106%
National Choicecare $134 - $394 106%
Physicians Cooperative Of Texas $147 - $433 116%
Seven Corners $149 118%
Corvel Corporation $171 - $191 135%
Coastal Comp Health Networks $174 - $512 138%
Occunet $187 - $552 148%
Texas Municipal League $187 - $552 148%
Medcorp Southwest $200 - $591 158%
Rockport Healthcare Group $214 - $709 170%
Bce Emergis Corporation $240 - $709 190%
Medical Control Network Solutions $240 - $709 190%

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