CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Ascension Seton Hays

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$133

about 0.8× the $157 Medicare rate · typically $105–$296

modeled estimate · not a bill or quote

What this hospital charges insurers

$105

Below the fair price — a good deal

about $28 under the fair price · 0.7× Medicare

Medicare pays $157 Fair price $133 This hospital $105 Cash price $184 Hospital's list price $511

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $46 Priciest $105

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Diagnostic mammogram (both breasts) is about $133 (about 0.8× the $157 Medicare rate). Ascension Seton Hays charges insurers about $105, or about $184 in cash — below the fair price — a good deal. Located in Kyle, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$104	66%
Blue Cross Blue Shieldmajor	$120 - $488	76%
Aetnamajor	$102 - $1,112	65%
Cignamajor	$395	252%
Humanamajor	$102 - $204	65%
Ambetter (Centene)	$184	117%
Devoted Health	$102	65%
WellCare	$102	65%
WellMed	$100	64%
+ 15 smaller / regional plans	$101 - $1,112

Government programs also on file: Medicare, Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 184), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77066.

Insurance Before you use insurance

Call your insurance company to confirm Ascension Seton Hays is in-network.
Ask your insurer whether prior approval is required for CPT code 77066.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Ascension Seton Hays

Compare: Diagnostic mammogram (both breasts) at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.