CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Rio Grande Regional Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $134
  • Cash Discount Price: $743
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Rio Grande Regional Hospital is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $743. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.06x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.
Cash / Self-Pay
$743

Average discount available for prompt cash payment at this facility.

Insurance Median
$134

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: $743 (589%)
Insurance Median: $134 (106%)
Cash: $743 (589% of Medicare)
Ins. Median: $134 (106% 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 $52 - $91 41%
Triwest Health Alliance $85 67%
Wellmed $85 67%
Aetna $87 69%
Allegian Health $87 - $297 69%
Blue Cross Blue Shield $87 - $371 69%
Cigna $87 - $317 69%
Humana $87 - $413 69%
Independent Medical System $87 69%
Triwest Healthcare Alliance $87 69%
United $88 - $334 70%
American Health Plan $91 72%
Physicians Health Choice $91 72%
Prominence Health $91 72%
Shared Health $91 72%
Provider Partners Health Plan Of Texas $92 73%
Molina $94 74%
Universal Health Care $104 82%
Superior $134 106%
Corvel Corporation $171 135%
Focus Healthcare $173 137%
Texas Workforce Commission $178 141%
Omni Healthcare $182 144%
Molina Healthcare $210 166%
Averde Health $245 194%
Healthcare Highways $274 217%
Curative Administrators $297 235%
Texas Athletic Network $300 - $600 238%
Healthsmart Preferred Care $319 - $631 253%
First Health $427 338%
National Healthcare Solutions $446 353%
Southwest Medical $446 353%
Coastal Comp $483 383%
Usa Managed Care $483 - $594 383%
Ppo Next/ Medical Control $557 441%
Beech Street $594 470%
Multiplan $594 470%

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