CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: North Austin Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $245
  • Cash Discount Price: $736
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at North Austin Medical Center is $245. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $736. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.56x the Medicare baseline. Located in 12221 Mopac Expressway North, Austin, TX.
Cash / Self-Pay
$736

Average discount available for prompt cash payment at this facility.

Insurance Median
$245

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: $736 (469%)
Insurance Median: $245 (156%)
Cash: $736 (469% of Medicare)
Ins. Median: $245 (156% 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 $33 - $125 21%
Amerigroup $93 - $103 59%
Triwest Health Alliance $113 72%
Wellmed $113 72%
Aetna $117 - $1,066 75%
Blue Cross Blue Shield $117 - $368 75%
Cigna $117 75%
Devoted Health $117 75%
Humana $117 75%
Odyssey Hospice $117 75%
St David’S Hospice $117 75%
Triwest Healthcare Alliance $117 75%
UnitedHealthcare $117 - $332 75%
United $119 - $332 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%
Moda $156 - $173 99%
Sendero $158 - $200 101%
Naphcare $181 115%
Seven Corners $181 115%
Covenant Management Systems $191 - $212 122%
Healthcare Highways $193 - $221 123%
Imo Med - Select Network $199 - $221 127%
Nomi Health $212 - $273 135%
Corvel Corporation $231 147%
Moda Health $238 - $273 152%
Evry Health $244 - $271 155%
Texas Healthcare Foundation Heb $245 - $273 156%
Texas Workforce Commission $258 - $287 164%
Curative Administrators $265 - $295 169%
Harbor Health Team $265 - $295 169%
Averde Health $298 - $332 190%
Comanche County $331 - $368 211%
National Choicecare $331 - $368 211%
Healthsmart Preferred Care $364 - $590 232%
Independent Medical Systems $364 - $405 232%
Physicians Cooperative Of Texas $364 - $405 232%
Prime Health $397 - $442 253%
First Health $414 - $523 264%
Coastal Comp Health Networks $430 - $479 274%
National Health Care $430 - $479 274%
Texas Municipal League $463 - $516 295%
Medcorp Southwest $496 - $553 316%
Rockport Healthcare Group $530 - $663 338%
Bce Emergis Corporation $596 - $663 380%
Beech Street $596 - $663 380%
Medical Control Network Solutions $596 - $663 380%
Multiplan $596 - $663 380%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12221 Mopac Expressway North, Austin, TX 78758
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals