CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Houston Healthcare Pearland

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $196
  • Cash Discount Price: $3,269
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Houston Healthcare Pearland is $196. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,269. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.25x the Medicare baseline. Located in 11100 Shadow Creek Parkway, Pearland, TX.
Cash / Self-Pay
$3,269

Average discount available for prompt cash payment at this facility.

Insurance Median
$196

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: $3,269 (2082%)
Insurance Median: $196 (125%)
Cash: $3,269 (2082% of Medicare)
Ins. Median: $196 (125% 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
Oscar $108 69%
Christus (Usfhp) $109 69%
Triwest Health Alliance $109 69%
Blue Cross Blue Shield $110 - $1,144 70%
Cigna $110 - $665 70%
Devoted Health $110 70%
Humana $110 - $2,118 70%
Kelsey Seybold $110 70%
Triwest Healthcare Alliance $110 70%
Aetna $111 - $1,195 71%
Van Lang Ipa $111 71%
Wellmed $111 71%
United $112 - $1,471 71%
Integranet Amerigroup Ipa $113 72%
Wellcare $113 72%
American Health Plan $116 74%
Procare Advantage $116 74%
Shared Health $116 74%
Superior Health Plan $116 - $196 74%
Provider Partners Health Plan Of Texas $117 75%
Molina $120 76%
Verda Health Plan $143 91%
Community Health Choice $160 102%
Superior $160 - $171 102%
Molina Healthcare $237 151%
Healthcare Highways $274 175%
Community Health Choice Mcd $425 271%
Texas Childrens Health Plans $543 - $775 346%
Evry Health $892 568%
Curative Administrators $1,308 833%
Coventry National First Health $1,742 1110%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11100 Shadow Creek Parkway, Pearland, TX 77584
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals