CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: HCA Houston Healthcare Kingwood

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $192
  • Cash Discount Price: $913
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at HCA Houston Healthcare Kingwood is $192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $913. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.52x the Medicare baseline. Located in 22999 Us Hwy 59, Kingwood, TX.
Cash / Self-Pay
$913

Average discount available for prompt cash payment at this facility.

Insurance Median
$192

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: $913 (723%)
Insurance Median: $192 (152%)
Cash: $913 (723% of Medicare)
Ins. Median: $192 (152% 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 $49 - $95 39%
Oscar $89 70%
Wellmed $90 71%
Aetna $91 - $987 72%
Amerigroup $91 - $128 72%
Blue Cross Blue Shield $91 - $407 72%
Chc Harris Health $91 72%
Christus (Usfhp) $91 72%
Cigna $91 - $665 72%
Devoted Health $91 72%
Humana $91 - $1,751 72%
Kelsey Seybold $91 72%
Renaissance Ipa Radiology $91 72%
Triwest Health Alliance $91 72%
Triwest Healthcare Alliance $91 72%
United $92 - $524 73%
Van Lang Ipa $92 73%
Integranet Amerigroup Ipa $93 74%
Wellcare $93 74%
American Health Plan $95 75%
Procare Advantage $95 75%
Shared Health $95 75%
Provider Partners Health Plan Of Texas $96 76%
Molina $99 78%
Community Health Choice Mcd $106 - $151 84%
Universal Healthcare Group $109 86%
Verda Health Plan $118 93%
Community Health Choice $131 104%
Superior $131 - $141 104%
Texas Childrens Health Plans $136 - $216 108%
Usa Managed Care $172 - $776 136%
Corvel Corporation $180 143%
Omni Healthcare $190 150%
Molina Healthcare $195 154%
Evry Health $224 - $318 177%
Healthcare Highways $274 217%
Imagine Health $287 - $320 227%
Kelsey Care (Boon-Chapman) $287 - $320 227%
Texas Athletic Network $300 - $600 238%
Curative Administrators $328 - $466 260%
Healthsmart Preferred Care $352 - $776 279%
Averde Health $369 - $411 292%
Fidelis Securecare Of Tx $369 - $411 292%
Coventry National First Health $436 - $620 345%
Physicians Cooperative Of Texas $450 - $502 356%
Rockport Workers Comp $450 - $502 356%
Independent Medical System $491 - $548 389%
National Healthcare Solutions $491 - $548 389%
Southwest Medical $491 - $548 389%
Coastal Comp $532 - $593 421%
Multiplan $614 - $989 486%
Physicians, Inc $696 - $776 551%
Affiliated Ppo $737 - $822 584%

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