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Diagnostic mammography unilateral

CPT 77065 · negotiated-rate distribution across hospitals in TX

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Hospitals
45
Min
$72.63
Median
$225.18
Max
$686.00
Range multiplier
9.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield33188$36.07$220.44$8,427.00233.6×
UnitedHealthcare31106$21.32$181.40$712.4633.4×
Aetna3072$35.36$244.68$735.0020.8×
Anthem BCBS357$38.31$85.44$326.008.5×
Medicaid1355$1.00$255.68$822.22822.2×
Humana2245$35.36$129.26$615.2017.4×
Cigna1939$75.16$285.00$711.489.5×
Multiplan1634$182.25$372.40$833.004.6×
Medicare831$80.21$93.28$112.841.4×
First Health1226$157.95$332.15$735.004.7×
commercial | galaxy | all plans922$206.55$379.80$478.802.3×
commercial | nppn | all plans515$194.40$290.40$408.802.1×
commercial | usa health network | all plans515$206.55$308.55$434.352.1×
commercial | healthsmart | ppo412$170.10$254.10$357.702.1×
healthcare highways [2210]412$169.75$253.19$382.202.3×
commercial | phcs | all plans510$284.85$359.10$409.701.4×
health partners open network29$82.57$176.80$264.573.2×
healthsmart48$684.41$684.41$684.411.0×
web tpa [2115]48$169.75$451.41$735.004.3×
assurant health48$507.54$507.54$507.541.0×
web tpa48$346.05$346.05$346.051.0×
commercial | entrust | all plans77$174.36$205.74$247.301.4×
Ambetter66$126.41$172.83$172.831.4×
healthscope benefits [2290]45$138.06$207.25$382.202.8×
commercial | nxhealth | all plans55$283.34$283.34$305.601.1×
commercial | kelseycare | exchange55$117.69$117.69$126.941.1×
wellmed55$80.39$80.39$129.261.6×
commercial | harris health | ers55$130.77$130.77$141.051.1×
commercial | superior health plan | all plans55$130.77$130.77$141.051.1×
commercial | community health choice | exchange55$130.77$130.77$141.051.1×
commercial | renaissance | all plans55$62.77$62.77$67.701.1×
amerivantage14$35.36$95.06$216.686.1×
patoka valley tier 124$85.44$85.44$85.441.0×
patoka valley tier 224$85.44$85.44$85.441.0×
care improvement44$80.39$80.39$80.391.0×
mhs care connect24$255.68$255.68$255.681.0×
caprock44$200.96$200.96$200.961.0×
pdh/texas trust44$160.77$160.77$160.771.0×
commercial | healthsmart | all plans24$170.10$294.00$357.702.1×
scott & white44$128.62$128.62$128.621.0×
umr [2035]14$382.20$510.09$712.461.9×
commercial | firstcare | all plans24$267.00$278.10$289.201.1×
kempton group44$160.77$160.77$160.771.0×
90 degree benefits44$200.96$200.96$200.961.0×
insurance services of lubbock44$131.03$131.03$131.031.0×
city of san angelo44$106.89$106.89$106.891.0×
insurance management services44$131.03$131.03$131.031.0×
iowa health14$37.13$99.81$216.685.8×
phcs [1780]34$454.93$608.28$686.001.5×
wellpoint44$108.52$108.52$108.521.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Eastland Memorial HospitalEastlandTX3$134.00$67.00$83.00$96.00$121.00
Ascension Seton BastropBastropTX7$21.32$85.44$255.68
Ascension Seton Shoal CreekAustinTX7$21.32$85.44$255.68
Acuity Hospital Of South TexasSan AntonioTX1$72.63$72.63$72.63
Baptist Saint Anthonys HospitalAmarilloTX84$980.00$98.00$91.73$686.00$833.00
Dimmit Regional Hospital DistrictCarrizo SpringsTX3$499.00$299.00$190.00$456.50$479.00
Shannon Medical CenterSan AngeloTX21$769.00$384.50$80.39$346.05$684.41
San Angelo Community Medical CenterSan AngeloTX21$769.00$384.50$80.39$346.05$684.41
Big Spring State HospitalBig SpringsTX21$769.00$384.50$80.39$346.05$684.41
River Crest HospitalSan AngeloTX21$769.00$384.50$80.39$346.05$684.41
Grimes St. Joseph Health CenterNavasotaTX3$482.00$168.70$205.05$313.07$409.70
Seton Medical Center Harker HeightsHarker HeightsTX16$767.00$76.70$52.49$299.13$822.22
Madison St. Joseph Health CenterMadisonvilleTX6$482.00$168.70$205.05$298.84$433.80
Burleson St. Joseph Health CenterCaldwellTX5$482.00$168.70$205.05$289.20$433.80
Glen Rose Medical CenterGlen RoseTX8$407.00$407.00$187.00$285.00$387.00
St Lukes Health Memorial San AugustSan AugustineTX9$532.00$186.20$82.82$278.95$478.80
Chi St Lukes Health Memorial LufkinLufkinTX9$532.00$186.20$82.82$258.72$478.80
Chi St Lukes Health Mem LivingstonLivingstonTX9$532.00$186.20$82.82$258.72$478.80
Ut Health East Texas Specialty HospiTylerTX17$829.00$82.90$71.63$252.12$530.56
Brazosport Regional Health SystemLake JacksonTX4$444.00$155.40$182.06$241.36$256.78
St. Lukes Patients Medical CenterPasadenaTX6$477.00$166.95$123.22$232.99$405.45
College Station Medical CenterCollege StationTX9$482.00$168.70$87.18$225.18$409.70
St. Joseph Regional Health CenterBryanTX9$482.00$168.70$87.18$225.18$409.70
North Texas Medical CenterGainsvilleTX9$372.00$93.00$94.00$223.00$342.00
Baylor Orthopedic And Spine HospitalArlingtonTX3$47.00$219.05$8,427.00
Rice Medical CenterEagle LakeTX19$367.40$257.18$1.00$204.77$367.40
St Lukes Hospital At The VintageHoustonTX20$511.00$178.85$67.70$198.33$434.35
St. Lukes The Woodlands HospitalThe WoodlandsTX19$511.00$178.85$62.77$198.33$434.35
St. Lukes Sugar Land HospitalSugar LandTX18$511.00$178.85$62.77$197.00$434.35
St. Lukes Lakeside HospitalThe WoodlandsTX19$511.00$178.85$62.77$195.70$434.35
Chi St Lukes Health Baylor Med CtrHoustonTX20$511.00$178.85$67.70$193.00$434.35
Lifecare Spec Hosp Of North TexasDallasTX13$679.00$67.90$154.87$169.75$634.98
Wilson N Jones Regional Medical CtrShermanTX12$529.14$423.32$35.36$163.74$529.14
Heritage Park Surgical HospitalShermanTX2$91.46$129.55$203.47
Baylor Scott And White Mc At SunnyvaSunnyvaleTX1$203.00$121.80$91.46$129.55$193.36
Golden Plains Community HospitalBorgerTX6$562.00$393.40$79.01$129.26$382.16
Trinity Regional Hospital SachseSachseTX8$349.14$279.32$35.36$114.98$296.77
Childrens Medical Center Of PlanoPlanoTX4$104.27$104.27$104.27
Longview Regional Medical CenterLongviewTX0$769.82$207.85
Trustpoint Rehabilitation Hospital OLubbockTX0$305.00
The Medical Ctr Of Southeast TexasPort ArthurTX0$540.14$540.14
Navarro Regional HospitalCorsicanaTX0$901.00$315.35
Laredo Specialty HospitalLaredoTX0$305.00
St Joseph Medical CenterHoustonTX0$606.41$606.41
Laredo Medical CenterLaredoTX0$1,243.26$435.14

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.