CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: St David's South Austin Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $211
  • Cash Discount Price: $729
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at St David's South Austin Medical Center is $211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $729. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.34x the Medicare baseline. Located in 901 West Ben White Blvd, Austin, TX.
Cash / Self-Pay
$729

Average discount available for prompt cash payment at this facility.

Insurance Median
$211

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: $729 (464%)
Insurance Median: $211 (134%)
Cash: $729 (464% of Medicare)
Ins. Median: $211 (134% 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 $36 - $124 23%
Amerigroup $102 65%
Triwest Health Alliance $113 72%
Wellmed $113 72%
Aetna $117 - $1,066 75%
Blue Cross Blue Shield $117 - $368 75%
Cigna $117 - $211 75%
Devoted Health $117 75%
Harbor Hospice $117 75%
Humana $117 75%
Odyssey Hospice $117 75%
St David’S Hospice $117 75%
Triwest Veterans $117 75%
United $119 - $328 76%
American Health Plan Of Texas $123 78%
Shared Health $123 78%
Provider Partners Health Plan $124 79%
Texas Independent Health Plan $124 79%
Wellcare $124 79%
Pyramid Life $125 80%
Molina Healthcare $127 81%
Imperial Insurance $129 82%
Universal Health $140 89%
Austin Fc $146 93%
Sendero $158 - $200 101%
Moda $171 109%
Naphcare $181 115%
Seven Corners $181 115%
Covenant Management Systems $210 134%
Healthcare Highways $212 - $219 135%
Imo Med - Select Network $219 140%
Corvel Corporation $231 147%
Nomi Health $233 - $270 148%
Moda Health $262 - $270 167%
Evry Health $268 171%
Texas Healthcare Foundation Heb $270 172%
Texas Workforce Commission $284 181%
Curative Administrators $292 186%
Harbor Health Team $292 186%
UnitedHealthcare $292 - $729 186%
Averde Health $328 209%
Comanche County $364 232%
Emerging Therapy Solutions $364 - $503 232%
National Choicecare $364 232%
Healthsmart Preferred Care $401 - $583 255%
Independent Medical Systems $401 255%
Physicians Cooperative Of Texas $401 255%
Prime Health $437 278%
First Health $459 - $524 292%
Coastal Comp Health Networks $474 302%
National Health Care $474 302%
Occunet $510 325%
Texas Municipal League $510 325%
Medcorp Southwest $547 348%
Preferred Health Arrangement $547 348%
Rockport Healthcare Group $583 - $656 371%
Bce Emergis Corporation $656 418%
Beech Street $656 418%
Medical Control Network Solutions $656 418%
Multiplan $656 418%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 West Ben White Blvd, Austin, TX 78704
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals