CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Comanche County Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $67
Cash Discount Price: $200
vs. Medicare Baseline: 0.53x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Comanche County Medical Center is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $200. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.53x the Medicare baseline. Located in 10201 Hwy 16, Comanche, TX.

Cash / Self-Pay

$200

Average discount available for prompt cash payment at this facility.

Insurance Median

$67

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: $200 (158%)

Insurance Median: $67 (53%)

Cash: $200 (158% of Medicare)

Ins. Median: $67 (53% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Swhp Comm - All Other Plans	$31 - $820	25%
Blue Cross Blue Shield	$32 - $56	25%
Choicecare Comm - All Other Plans	$34 - $184	27%
Choicecare Mcr Adv	$34 - $184	27%
Humana	$34 - $348	27%
Molina Mcr Adv - All Other Plans	$34 - $184	27%
Pphp Mcr Adv - All Plans	$34 - $184	27%
Superior Epo/Hmo - All Plans	$34 - $184	27%
Swhp Mcr Adv	$34 - $184	27%
Wellmed Mcr Adv - All Plans	$34 - $184	27%
Aetna	$36 - $313	29%
First Care Hmo - All Other Plans	$36 - $422	29%
First Care Hmo Self Funded	$36 - $422	29%
Occunet - All Plans	$45 - $373	36%
Alliance Wc - All Plans	$52 - $276	41%
Cigna	$77 - $323	61%
Molina Mcaid	$119 - $313	94%
Swhp Mcaid	$119 - $313	94%
Mpi - All Plans	$447	354%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $200.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77067.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Comanche County Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77067.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.