CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Seton Medical Center Harker Heights

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $323
Cash Discount Price: $83
vs. Medicare Baseline: 2.06x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Seton Medical Center Harker Heights is $323. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.06x the Medicare baseline. Located in 850 W Central Texas Expressway, Harker Heights, TX.

Cash / Self-Pay

$83

Average discount available for prompt cash payment at this facility.

Insurance Median

$323

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: $83 (53%)

Insurance Median: $323 (206%)

Cash: $83 (53% of Medicare)

Ins. Median: $323 (206% 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 206% of the Medicare baseline (a markup of 106%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Medicaid / KanCare	$57 - $887	36%
Blue Cross Blue Shield	$144 - $612	92%
Healthscope Benefits [2290]	$149	95%
UnitedHealthcare	$149 - $323	95%
Aetna	$153 - $475	97%
Bell County Indigent Health Svc [3530]	$157	100%
Healthcare Highways [2210]	$323	206%
Oncology Patient Assistance Programs [2295]	$323	206%
Selecthealth [3740]	$323	206%
Web Tpa [2115]	$323 - $662	206%
Cigna	$376 - $716	240%
American Postal Workers Union [1070]	$391	249%
Humana	$541 - $597	345%
First Care Commercial [1371]	$620	395%
Allied Benefit Systems Inc [1030]	$662	422%

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 $83.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Seton Medical Center Harker Heights is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
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.