CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Round Rock Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $175
  • Cash Discount Price: $515
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Round Rock Medical Center is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $515. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.39x the Medicare baseline. Located in 2400 Round Rock Ave, Round Rock, TX.
Cash / Self-Pay
$515

Average discount available for prompt cash payment at this facility.

Insurance Median
$175

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: $515 (408%)
Insurance Median: $175 (139%)
Cash: $515 (408% of Medicare)
Ins. Median: $175 (139% 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 $24 - $94 19%
Amerigroup $66 - $78 52%
Wellmed $84 67%
Triwest Health Alliance $85 67%
Aetna $87 - $881 69%
Blue Cross Blue Shield $87 - $304 69%
Cigna $87 69%
Devoted Health $87 69%
Humana $87 69%
Odyssey Hospice $87 69%
St David’S Hospice $87 69%
Triwest Healthcare Alliance $87 69%
United $88 - $250 70%
American Health Plan Of Texas $91 72%
Shared Health $91 72%
Provider Partners Health Plan $92 73%
Texas Independent Health Plan $92 73%
Wellcare $92 73%
Pyramid Life $93 74%
Molina Healthcare $94 74%
Imperial Insurance $95 75%
Universal Health $104 82%
Austin Fc $108 86%
Moda $111 - $130 88%
Sendero $117 - $148 93%
Naphcare $134 106%
Covenant Management Systems $137 - $160 109%
Healthcare Highways $138 - $166 109%
Imo Med - Select Network $142 - $166 112%
Nomi Health $152 - $205 120%
Corvel Corporation $171 135%
Moda Health $171 - $205 135%
Evry Health $174 - $204 138%
Texas Healthcare Foundation Heb $175 - $205 139%
Texas Workforce Commission $185 - $216 147%
Curative Administrators $190 - $222 150%
Harbor Health Team $190 - $222 150%
Averde Health $213 - $250 169%
Comanche County $237 - $278 188%
National Choicecare $237 - $278 188%
Healthsmart Preferred Care $261 - $444 207%
Independent Medical Systems $261 - $305 207%
Physicians Cooperative Of Texas $261 - $305 207%
Prime Health $284 - $333 225%
First Health $299 - $399 237%
Coastal Comp Health Networks $308 - $361 244%
National Health Care $308 - $361 244%
Occunet $332 - $388 263%
Texas Municipal League $332 - $388 263%
Medcorp Southwest $356 - $416 282%
Preferred Health Arrangement $356 - $416 282%
Rockport Healthcare Group $379 - $500 300%
Bce Emergis Corporation $427 - $500 338%
Beech Street $427 - $500 338%
Medical Control Network Solutions $427 - $500 338%
Multiplan $427 - $500 338%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 Round Rock Ave, Round Rock, TX 78681
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals