CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Lake Granbury Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $328
  • Cash Discount Price: $322
  • vs. Medicare Baseline: 2.09x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Lake Granbury Medical Center is $328. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $322. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.09x the Medicare baseline. Located in 1310 Paluxy Rd, Granbury, TX.
Cash / Self-Pay
$322

Average discount available for prompt cash payment at this facility.

Insurance Median
$328

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: $322 (205%)
Insurance Median: $328 (209%)
Cash: $322 (205% of Medicare)
Ins. Median: $328 (209% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 209% of the Medicare baseline (a markup of 109%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Self Pay $78 - $179 50%
Blue Cross Blue Shield $85 - $440 54%
Tricare $97 62%
Node Champva $102 65%
Veterans Eval Services $102 65%
Cigna $103 - $640 66%
Humana $103 66%
Medicare (plans) $103 66%
UnitedHealthcare $103 - $691 66%
Aetna $105 - $1,116 67%
Hospice Non Par $105 67%
Node Care N Care $105 67%
Node Va $105 67%
Triwest $105 67%
American Health $107 68%
Node Amerigroup Mcr Adv $108 69%
Provider Partners Health Plan $108 69%
Superior $108 - $287 69%
Medicaid / KanCare $177 - $835 113%
Node Brookshire Brothers $184 117%
Amerigroup $186 - $232 118%
Healthspring $186 - $232 118%
93% Payors Work Comp Tx $195 124%
Node Brookshire Brothers Work Comp Tx $195 124%
Work Comp $210 134%
Node Us Dept Of Labor $255 162%
Healthsmart $715 - $1,138 455%
Multiplan $975 - $1,430 621%
Santa Fe Hospital Association $1,040 - $1,300 663%
Galaxy Health $1,235 - $1,544 787%
Medcorp Southwest $1,235 - $1,544 787%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1310 Paluxy Rd, Granbury, TX 76048
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals