CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Methodist Hospital Stone Oak

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $254
  • Cash Discount Price: $1,026
  • vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Methodist Hospital Stone Oak is $254. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,026. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.62x the Medicare baseline. Located in 1139 E Sonterra Blvd,, San Antonio, TX.
Cash / Self-Pay
$1,026

Average discount available for prompt cash payment at this facility.

Insurance Median
$254

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: $1,026 (654%)
Insurance Median: $254 (162%)
Cash: $1,026 (654% of Medicare)
Ins. Median: $254 (162% 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 $47 - $110 30%
Wellmed $99 63%
Triwest Va Pccc $103 66%
Amerigroup $105 - $149 67%
Blue Cross Blue Shield $105 - $557 67%
Devoted Health $105 67%
Gonzaba Medical Group $105 67%
Ilumed $105 67%
Lighthouse Hospice $105 67%
Triwest $105 67%
Triwest Health Alliance $105 67%
UnitedHealthcare $105 67%
Value Options $105 67%
Aetna $107 - $774 68%
United $107 - $480 68%
Integranet $108 69%
Wellcare $108 69%
American Health Plan Of Texas $110 70%
Clover Insurance $110 70%
Texas Independent Health Plan $111 71%
Community First Health Plans $113 - $288 72%
Focus Healthcare Management $147 94%
Molina Healthcare $167 106%
Superior $169 108%
Imperial Insurance $179 - $203 114%
Focus Health Solutions $282 - $320 180%
Healthcare Highways $290 - $329 185%
Valenz $329 - $373 210%
Evry Health $346 - $393 220%
Curative Administrators $376 - $427 240%
Fidelis Securecare $423 - $480 269%
National Choicecare $471 - $533 300%
Texas Healthcare Foundation Heb $471 - $533 300%
Tx Healthcare Foundation $471 - $533 300%
Healthsmart Preferred Care $518 - $587 330%
Independent Medical Systems $518 - $587 330%
Physician Cooperative Of Texas $518 - $587 330%
Haa Preferred Partners $565 - $640 360%
San Antonio Employers Health Alliance $565 - $640 360%
Coastal Comp Health Networks $612 - $693 390%
National Healthcare Solutions $612 - $693 390%
Tml Intergovernmental Ebp $659 - $747 420%
Multiplan $706 - $907 450%
Usa Managed Care $706 - $800 450%
Blue Bell $753 - $853 480%
Directcare America $753 - $853 480%
Managed Healthcare $800 - $907 510%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1139 E Sonterra Blvd,, San Antonio, TX 78258
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals