CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Sweeny Community Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $628
  • Cash Discount Price: $583
  • vs. Medicare Baseline: 4.00x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Sweeny Community Hospital is $628. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $583. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 4.00x the Medicare baseline. Located in 305 North McKinney, Sweeny, TX.
Cash / Self-Pay
$583

Average discount available for prompt cash payment at this facility.

Insurance Median
$628

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: $583 (371%)
Insurance Median: $628 (400%)
Cash: $583 (371% of Medicare)
Ins. Median: $628 (400% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 400% of the Medicare baseline (a markup of 300%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $292 - $486 186%
Evercare Mcaid $486 310%
UnitedHealthcare $525 - $778 334%
Aetna $564 - $778 359%
Amerigroup Mcr Adv - All Other Plans $564 359%
Community Hlth Choice Him - All Other Plans $564 359%
Coventry Mcr Adv $564 359%
Molina Mcr Adv - All Other Plans $564 359%
Superior Hp Mcr Adv-All Other Plans $564 359%
Wellcare Mcare - All Plans $564 359%
Care Improvement Mcr - All Plans $570 363%
Choicecare Mcr Adv - All Plans $570 363%
Community Hlth Choice Star $686 437%
Molina Mcaid $686 437%
Superior Hp Mcaid $686 437%
Tx Chlidrens Hp Mcaid - All Plans $686 437%
Tx True Choice Mcaid - All Plans $686 437%
Beech Street - All Plans $729 464%
Community Care Network - All Plans $778 496%
Galaxy Health Network - All Plans $875 557%
Multiplan - All Plans $875 557%
Evercare Mcr Adv - All Other Plans $943 601%
Amerigroup Mcaid $972 619%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 305 North McKinney, Sweeny, TX 77480
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals