CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: The Medical Center of Southeast Texas

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $147
  • Cash Discount Price: $1,326
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at The Medical Center of Southeast Texas is $147. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,326. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.16x the Medicare baseline. Located in 2555 Jimmy Johnson Blvd, Port Arthur, TX.
Cash / Self-Pay
$1,326

Average discount available for prompt cash payment at this facility.

Insurance Median
$147

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: $1,326 (1050%)
Insurance Median: $147 (116%)
Cash: $1,326 (1050% of Medicare)
Ins. Median: $147 (116% 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
Medsolutions $73 58%
Community Health Choice $76 - $100 60%
Humana $79 - $875 63%
UnitedHealthcare $79 - $115 63%
Amerigroup $82 - $173 65%
Healthspring $82 65%
Medicare (plans) $82 65%
Provider Partners Health Plan $82 65%
Selectcare $82 65%
Superior Healthplan $82 - $105 65%
Tihp (Texas Independence Health Plan) $82 65%
Blue Cross Blue Shield $83 - $548 66%
Caresact $83 66%
Employer Direct Healthcare $83 - $147 66%
Hospice $83 66%
Molina Healthcare $83 - $112 66%
Rice Land Hospice $83 66%
Texas Medical Management Partners $83 - $147 66%
Tricare $83 66%
Triwest $83 66%
Cccn Pro Advantage $86 68%
Wellcare Of Texas $86 68%
League Medical Concepts $90 - $127 71%
Wellpath $92 73%
Community Health Choice Uhrip $105 83%
Harbor Hospice $105 83%
Medicaid / KanCare $105 - $202 83%
Texas Childrens Health Plan $105 - $110 83%
Beacon Health $121 96%
Corporate Remedies $122 97%
Elap Services $161 128%
Texas Workers Compensation $167 132%
Self Pay Emergent $199 158%
Cigna $485 - $928 384%
Dept Of Assistive And Rehabilitative Services $663 525%
Aetna $769 - $875 609%
Iasis Employees $796 630%
Magellan Behavioral Health $796 630%
First Health $928 735%
Galaxy Health Network $928 735%
Private Healthcare Systems $928 735%
Texas Municipal League $928 735%
Healthsmart $995 788%
Multiplan $1,061 840%
Commercial Non-Contracted $1,326 1050%
Heart To Heart Hospice $1,326 1050%
Lifesynch $1,326 1050%
Mhnet $1,326 1050%
Self Pay - Mcd Pending 100 Percent $1,326 1050%
Single Case Agreement $1,326 1050%
United Behavioral Health $1,326 1050%

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