CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Houston Healthcare West

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $263
  • Cash Discount Price: $3,708
  • vs. Medicare Baseline: 1.68x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Houston Healthcare West is $263. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,708. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.68x the Medicare baseline. Located in 12141 Richmond Ave, Houston, TX.
Cash / Self-Pay
$3,708

Average discount available for prompt cash payment at this facility.

Insurance Median
$263

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: $3,708 (2362%)
Insurance Median: $263 (168%)
Cash: $3,708 (2362% of Medicare)
Ins. Median: $263 (168% 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
Oscar $108 69%
Wellmed $109 69%
Amerigroup $110 - $519 70%
Blue Cross Blue Shield $110 - $1,298 70%
Chc Harris Health $110 70%
Christus (Usfhp) $110 70%
Cigna $110 - $2,966 70%
Devoted Health $110 70%
Humana $110 - $2,118 70%
Kelsey Seybold $110 70%
Renaissance Ipa Radiology $110 70%
Triwest Health Alliance $110 70%
Triwest Healthcare Alliance $110 70%
Aetna $111 - $1,195 71%
Van Lang Ipa $111 71%
United $112 - $1,669 71%
Integranet Amerigroup Ipa $113 72%
Wellcare $113 72%
American Health Plan $116 74%
Procare Advantage $116 74%
Shared Health $116 74%
Superior Health Plan $116 - $222 74%
Provider Partners Health Plan Of Texas $117 75%
Molina $120 76%
Universal Healthcare Group $132 84%
Verda Health Plan $143 91%
Community Health Choice $160 102%
Superior $160 - $171 102%
Corvel Corporation $218 139%
Omni Healthcare $231 147%
Molina Healthcare $237 151%
Healthcare Highways $274 175%
Texas Athletic Network $300 - $600 191%
Community Health Choice Mcd $482 307%
Texas Childrens Health Plans $616 - $879 392%
Texas Workforce Commission $890 567%
Evry Health $1,012 645%
Imagine Health $1,298 827%
Curative Administrators $1,483 945%
Healthsmart Preferred Care $1,594 - $3,152 1015%
Averde Health $1,669 1063%
Fidelis Securecare Of Tx $1,669 1063%
Coventry National First Health $1,976 1259%
Physicians Cooperative Of Texas $2,039 1299%
Rockport Workers Comp $2,039 1299%
Independent Medical System $2,225 1417%
National Healthcare Solutions $2,225 1417%
Southwest Medical $2,225 1417%
Triumph $2,225 1417%
Coastal Comp $2,410 1535%
Multiplan $2,781 - $3,152 1772%
Physicians, Inc $3,152 2008%
Affiliated Ppo $3,337 2126%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals