CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Womans Hospital of Texas,The

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $136
  • Cash Discount Price: $937
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Womans Hospital of Texas,The is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $937. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.08x the Medicare baseline. Located in 7600 Fannin, Houston, TX.
Cash / Self-Pay
$937

Average discount available for prompt cash payment at this facility.

Insurance Median
$136

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: $937 (742%)
Insurance Median: $136 (108%)
Cash: $937 (742% of Medicare)
Ins. Median: $136 (108% 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
Superior Health Plan $56 - $95 44%
Oscar $89 70%
Wellmed $90 71%
Amerigroup $91 - $131 72%
Blue Cross Blue Shield $91 - $376 72%
Christus (Usfhp) $91 72%
Cigna $91 - $413 72%
Devoted Health $91 72%
Humana $91 - $1,751 72%
Triwest Health Alliance $91 72%
Triwest Healthcare Alliance $91 72%
United $92 - $422 73%
Van Lang Ipa $92 73%
Integranet Amerigroup Ipa $93 74%
Kelsey Seybold $93 74%
Wellcare $93 74%
American Health Plan $95 75%
Procare Advantage $95 75%
Shared Health $95 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 Mcd $122 97%
Community Health Choice $131 104%
Superior $131 - $141 104%
Corvel Corporation $180 143%
Omni Healthcare $190 150%
Molina Healthcare $199 158%
Texas Childrens Health Plans $222 - $245 176%
Evry Health $256 203%
Healthcare Highways $274 217%
Texas Athletic Network $300 - $600 238%
Imagine Health $328 260%
Kelsey Care (Boon-Chapman) $328 260%
Curative Administrators $375 297%
Healthsmart Preferred Care $403 - $796 319%
Averde Health $422 334%
Fidelis Securecare Of Tx $422 334%
Coventry National First Health $499 395%
Aetna $506 - $1,013 401%
Physicians Cooperative Of Texas $515 408%
Rockport Workers Comp $515 408%
Independent Medical System $562 445%
National Healthcare Solutions $562 445%
Southwest Medical $562 445%
Coastal Comp $609 482%
Affiliated Ppo $703 557%
Fiesta Mart, Inc $703 557%
Multiplan $703 - $796 557%
Physicians, Inc $796 630%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7600 Fannin, Houston, TX 77054
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals