CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Houston Healthcare Kingwood

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $236
  • Cash Discount Price: $1,812
  • vs. Medicare Baseline: 1.50x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Houston Healthcare Kingwood is $236. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,812. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.50x the Medicare baseline. Located in 22999 Us Hwy 59, Kingwood, TX.
Cash / Self-Pay
$1,812

Average discount available for prompt cash payment at this facility.

Insurance Median
$236

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: $1,812 (1154%)
Insurance Median: $236 (150%)
Cash: $1,812 (1154% of Medicare)
Ins. Median: $236 (150% 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 - $116 38%
Oscar $108 69%
Wellmed $109 69%
Amerigroup $110 - $254 70%
Blue Cross Blue Shield $110 - $635 70%
Chc Harris Health $110 70%
Christus (Usfhp) $110 70%
Cigna $110 - $665 70%
Devoted Health $110 70%
Humana $110 - $2,118 70%
Kelsey Seybold $110 70%
Renaissance Ipa Radiology $110 70%
Triwest Health Alliance $110 70%
Triwest Healthcare Alliance $110 70%
Aetna $111 - $1,195 71%
Van Lang Ipa $111 71%
United $112 - $816 71%
Integranet Amerigroup Ipa $113 72%
Wellcare $113 72%
American Health Plan $116 74%
Procare Advantage $116 74%
Shared Health $116 74%
Provider Partners Health Plan Of Texas $117 75%
Molina $120 76%
Community Health Choice Mcd $129 - $236 82%
Universal Healthcare Group $132 84%
Verda Health Plan $143 91%
Community Health Choice $160 102%
Superior $160 - $171 102%
Usa Managed Care $209 - $1,541 133%
Corvel Corporation $218 139%
Omni Healthcare $231 147%
Molina Healthcare $237 151%
Evry Health $271 - $495 173%
Healthcare Highways $274 175%
Texas Athletic Network $300 - $600 191%
Texas Childrens Health Plans $301 - $430 192%
Curative Administrators $398 - $725 254%
Coventry National First Health $530 - $966 338%
Imagine Health $635 405%
Kelsey Care (Boon-Chapman) $635 405%
Multiplan $746 - $1,541 475%
Healthsmart Preferred Care $780 - $1,541 497%
Averde Health $816 520%
Fidelis Securecare Of Tx $816 520%
Physicians Cooperative Of Texas $997 635%
Rockport Workers Comp $997 635%
Independent Medical System $1,088 693%
National Healthcare Solutions $1,088 693%
Southwest Medical $1,088 693%
Coastal Comp $1,179 751%
Physicians, Inc $1,541 982%
Affiliated Ppo $1,632 1040%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 22999 Us Hwy 59, Kingwood, TX 77325
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals