CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Hill Country Memorial Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $169
  • Cash Discount Price: $743
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Hill Country Memorial Hospital is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $743. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.08x the Medicare baseline. Located in 1020 South State Highway 16, Fredericksburg, TX.
Cash / Self-Pay
$743

Average discount available for prompt cash payment at this facility.

Insurance Median
$169

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: $743 (473%)
Insurance Median: $169 (108%)
Cash: $743 (473% of Medicare)
Ins. Median: $169 (108% 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
Superior Health $37 - $110 24%
Community First Health Plans $89 - $200 57%
Wellmed $99 63%
Blue Cross Blue Shield $105 - $289 67%
Gonzaba Medical Group $105 67%
Ilumed $105 67%
Triwest $105 67%
Triwest Health Alliance $105 67%
Aetna $107 - $774 68%
United $107 - $334 68%
Wellcare $108 69%
Molina Healthcare $167 106%
Superior $169 108%
Healthcare Highways $229 146%
Curative Administrators $297 189%
Healthsmart Preferred Care $408 260%
Multiplan $557 - $631 355%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1020 South State Highway 16, Fredericksburg, TX 78624
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals