CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Valley Regional Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $217
  • Cash Discount Price: $1,498
  • vs. Medicare Baseline: 1.72x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Valley Regional Medical Center is $217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,498. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.72x the Medicare baseline. Located in 100 A Alton Gloor, Brownsville, TX.
Cash / Self-Pay
$1,498

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: $1,498 (1187%)
Insurance Median: $217 (172%)
Cash: $1,498 (1187% 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
Wellmed $86 68%
Aetna $87 - $996 69%
Blue Cross Blue Shield $87 - $674 69%
Cigna $87 - $640 69%
Humana $87 - $987 69%
Independent Medical System $87 69%
Triwest Healthcare Alliance $87 69%
United $88 - $674 70%
Physicians Health Choice $89 70%
American Health Plan $91 72%
Prominence Health $91 72%
Shared Health $91 72%
Superior Health Plan $91 - $105 72%
Provider Partners Health Plan Of Texas $92 73%
Molina $94 74%
Superior $134 106%
Corvel Corporation $171 135%
Molina Healthcare $179 142%
Omni Healthcare $182 144%
Healthcare Highways $274 217%
Texas Athletic Network $300 - $600 238%
Texas Workforce Commission $359 284%
Averde Health $494 391%
Curative Administrators $599 474%
Healthsmart Preferred Care $644 - $1,273 510%
First Health $861 682%
National Healthcare Solutions $899 712%
Southwest Medical $899 712%
Coastal Comp $974 771%
Total E&P Mexico $974 771%
Affiliated Healthcare $1,018 806%
Mcm Maxcare $1,198 949%
Pronet Ppo $1,198 949%
Usa Managed Care $1,198 949%
Beech Street $1,348 1068%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 A Alton Gloor, Brownsville, TX 78526
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals