CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: The Medical Center of Southeast Texas

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $183
  • Cash Discount Price: $1,539
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at The Medical Center of Southeast Texas is $183. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,539. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.17x the Medicare baseline. Located in 2555 Jimmy Johnson Blvd, Port Arthur, TX.
Cash / Self-Pay
$1,539

Average discount available for prompt cash payment at this facility.

Insurance Median
$183

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: $1,539 (980%)
Insurance Median: $183 (117%)
Cash: $1,539 (980% of Medicare)
Ins. Median: $183 (117% 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
UnitedHealthcare $79 - $133 50%
Community Health Choice $89 - $121 57%
Medsolutions $89 57%
Humana $96 - $1,016 61%
Amerigroup $99 - $201 63%
Healthspring $99 63%
Medicare (plans) $99 63%
Provider Partners Health Plan $99 63%
Selectcare $99 63%
Superior Healthplan $99 - $122 63%
Tihp (Texas Independence Health Plan) $99 63%
Blue Cross Blue Shield $100 - $636 64%
Caresact $101 64%
Employer Direct Healthcare $101 - $183 64%
Hospice $101 64%
Molina Healthcare $101 - $136 64%
Rice Land Hospice $101 64%
Texas Medical Management Partners $101 - $183 64%
Tricare $101 64%
Triwest $101 64%
Cccn Pro Advantage $104 66%
Wellcare Of Texas $104 66%
League Medical Concepts $109 - $158 69%
Wellpath $111 71%
Community Health Choice Uhrip $122 78%
Harbor Hospice $122 78%
Medicaid / KanCare $122 - $235 78%
Texas Childrens Health Plan $122 - $128 78%
Beacon Health $140 89%
Corporate Remedies $149 95%
Elap Services $196 125%
Texas Workers Compensation $202 129%
Self Pay Emergent $231 147%
Cigna $563 - $1,077 359%
Dept Of Assistive And Rehabilitative Services $770 491%
Aetna $893 - $1,016 569%
Iasis Employees $923 588%
Magellan Behavioral Health $923 588%
First Health $1,077 686%
Galaxy Health Network $1,077 686%
Private Healthcare Systems $1,077 686%
Texas Municipal League $1,077 686%
Healthsmart $1,154 735%
Multiplan $1,231 784%
Commercial Non-Contracted $1,539 980%
Heart To Heart Hospice $1,539 980%
Lifesynch $1,539 980%
Mhnet $1,539 980%
Self Pay - Mcd Pending 100 Percent $1,539 980%
Single Case Agreement $1,539 980%
United Behavioral Health $1,539 980%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals