CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Texas Orthopedic Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $96
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.76x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Texas Orthopedic Hospital is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.76x the Medicare baseline. Located in 7401 South Main Street, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$96

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%)
Insurance Median: $96 (76%)
Ins. Median: $96 (76% 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
Oscar $89 70%
Wellmed $90 71%
Amerigroup $91 72%
Blue Cross Blue Shield $91 - $363 72%
Christus (Usfhp) $91 72%
Cigna $91 - $665 72%
Devoted Health $91 72%
Humana $91 - $1,751 72%
Kelsey Seybold $91 72%
Triwest Healthcare Alliance $91 72%
United $92 - $217 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%
Superior Health Plan $95 75%
Provider Partners Health Plan Of Texas $96 76%
Molina $99 78%
Universal Healthcare Group $109 86%
Verda Health Plan $118 93%
Community Health Choice $131 104%
Superior $131 - $141 104%
Corvel Corporation $180 143%
Omni Healthcare $190 150%
Molina Healthcare $199 158%
Healthcare Highways $274 217%
Aetna $324 - $588 257%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7401 South Main Street, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals