CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Ascension Seton Southwest

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $103
  • Cash Discount Price: $189
  • vs. Medicare Baseline: 0.66x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Ascension Seton Southwest is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $189. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.66x the Medicare baseline. Located in 7900 Fm 1826, Austin, TX.
Cash / Self-Pay
$189

Average discount available for prompt cash payment at this facility.

Insurance Median
$103

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: $189 (120%)
Insurance Median: $103 (66%)
Cash: $189 (120% of Medicare)
Ins. Median: $103 (66% 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
Aarp Mc Wellmed $100 64%
Sendero Chap $101 64%
Addr Cancer Together $102 65%
Aetna $102 - $1,112 65%
Covid Hrsa $102 65%
Cshcn Cidc $102 65%
Devoted Health Mcr Replacement $102 65%
Humana $102 - $204 65%
Medicare (plans) $102 65%
Research Study $102 65%
Smarthealth $102 65%
Superior Allwell $102 65%
Tricare $102 65%
Wellcare Med Advantage $102 65%
UnitedHealthcare $104 66%
Connected Senior Care $105 67%
Pphp Mcr Advantage $108 69%
Tx Independence Hp $108 69%
Blue Cross Blue Shield $120 - $488 76%
Community Health Services $123 78%
Champva $125 - $165 80%
Occunet $143 91%
Sendero Idealcare $179 114%
Ambetter / Centene $184 117%
Cigna $395 252%
Covenant Health $1,112 708%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7900 Fm 1826, Austin, TX 78737
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals