CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Houston Healthcare Tomball

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $131
  • Cash Discount Price: $1,791
  • vs. Medicare Baseline: 0.83x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Houston Healthcare Tomball is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,791. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.83x the Medicare baseline. Located in 605 Holderrieth, Tomball, TX.
Cash / Self-Pay
$1,791

Average discount available for prompt cash payment at this facility.

Insurance Median
$131

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: $1,791 (1141%)
Insurance Median: $131 (83%)
Cash: $1,791 (1141% of Medicare)
Ins. Median: $131 (83% 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 Plan $107 - $116 68%
Oscar $108 69%
Christus (Usfhp) $109 69%
Triwest Health Alliance $109 69%
Blue Cross Blue Shield $110 - $627 70%
Chc Harris Health $110 70%
Cigna $110 - $665 70%
Devoted Health $110 70%
Humana $110 - $2,118 70%
Triwest Healthcare Alliance $110 70%
Aetna $111 - $1,195 71%
Van Lang Ipa $111 71%
Wellmed $111 71%
United $112 - $806 71%
Integranet Amerigroup Ipa $113 72%
Wellcare $113 72%
American Health Plan $116 74%
Procare Advantage $116 74%
Shared Health $116 74%
Provider Partners Health Plan Of Texas $117 75%
Molina $120 76%
Verda Health Plan $143 91%
Community Health Choice $160 102%
Superior $160 - $171 102%
Community Health Choice Mcd $233 148%
Molina Healthcare $237 151%
Healthcare Highways $274 175%
Evry Health $489 312%
Coventry National First Health $652 415%
Curative Administrators $716 456%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 605 Holderrieth, Tomball, TX 77375
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals