CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Rio Grande Regional Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $163
  • Cash Discount Price: $856
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Rio Grande Regional Hospital is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $856. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.04x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.
Cash / Self-Pay
$856

Average discount available for prompt cash payment at this facility.

Insurance Median
$163

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: $856 (545%)
Insurance Median: $163 (104%)
Cash: $856 (545% of Medicare)
Ins. Median: $163 (104% 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 $60 - $110 38%
Triwest Health Alliance $102 65%
Wellmed $103 66%
Allegian Health $105 - $342 67%
Blue Cross Blue Shield $105 - $449 67%
Cigna $105 - $366 67%
Humana $105 - $512 67%
Independent Medical System $105 67%
Triwest Healthcare Alliance $105 67%
Aetna $106 68%
United $107 - $385 68%
American Health Plan $110 70%
Physicians Health Choice $110 70%
Prominence Health $110 70%
Shared Health $110 70%
Provider Partners Health Plan Of Texas $111 71%
Molina $114 73%
Universal Health Care $126 80%
Superior $163 104%
Texas Workforce Commission $205 131%
Corvel Corporation $208 133%
Focus Healthcare $210 134%
Omni Healthcare $220 140%
Molina Healthcare $255 162%
Healthcare Highways $274 175%
Averde Health $282 180%
Texas Athletic Network $300 - $600 191%
Curative Administrators $342 218%
Healthsmart Preferred Care $368 - $728 234%
First Health $492 313%
National Healthcare Solutions $514 327%
Southwest Medical $514 327%
Coastal Comp $556 354%
Usa Managed Care $556 - $685 354%
Ppo Next/ Medical Control $642 409%
Beech Street $685 436%
Multiplan $685 436%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 E Ridge Rd, McAllen, TX 78503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals