CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: HCA Houston Healthcare West

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $217
  • Cash Discount Price: $2,060
  • vs. Medicare Baseline: 1.72x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at HCA Houston Healthcare West is $217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,060. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.72x the Medicare baseline. Located in 12141 Richmond Ave, Houston, TX.
Cash / Self-Pay
$2,060

Average discount available for prompt cash payment at this facility.

Insurance Median
$217

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: $2,060 (1632%)
Insurance Median: $217 (172%)
Cash: $2,060 (1632% of Medicare)
Ins. Median: $217 (172% 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
Oscar $89 70%
Wellmed $90 71%
Aetna $91 - $987 72%
Amerigroup $91 - $288 72%
Blue Cross Blue Shield $91 - $721 72%
Chc Harris Health $91 72%
Christus (Usfhp) $91 72%
Cigna $91 - $1,648 72%
Devoted Health $91 72%
Humana $91 - $1,751 72%
Kelsey Seybold $91 72%
Renaissance Ipa Radiology $91 72%
Triwest Health Alliance $91 72%
Triwest Healthcare Alliance $91 72%
United $92 - $927 73%
Van Lang Ipa $92 73%
Integranet Amerigroup Ipa $93 74%
Wellcare $93 74%
American Health Plan $95 75%
Procare Advantage $95 75%
Shared Health $95 75%
Superior Health Plan $95 - $124 75%
Provider Partners Health Plan Of Texas $96 76%
Molina $99 78%
Universal Healthcare Group $109 86%
Verda Health Plan $118 93%
Community Health Choice $131 104%
Superior $131 - $141 104%
Corvel Corporation $180 143%
Omni Healthcare $190 150%
Molina Healthcare $195 154%
Community Health Choice Mcd $268 212%
Healthcare Highways $274 217%
Texas Athletic Network $300 - $600 238%
Texas Childrens Health Plans $342 - $488 271%
Texas Workforce Commission $494 391%
Evry Health $562 445%
Imagine Health $721 571%
Curative Administrators $824 653%
Healthsmart Preferred Care $886 - $1,751 702%
Averde Health $927 734%
Fidelis Securecare Of Tx $927 734%
Coventry National First Health $1,098 870%
Physicians Cooperative Of Texas $1,133 897%
Rockport Workers Comp $1,133 897%
Independent Medical System $1,236 979%
National Healthcare Solutions $1,236 979%
Southwest Medical $1,236 979%
Triumph $1,236 979%
Coastal Comp $1,339 1061%
Multiplan $1,545 - $1,751 1224%
Physicians, Inc $1,751 1387%
Affiliated Ppo $1,854 1469%

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