CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Medical City North Hills

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $166
  • Cash Discount Price: $1,367
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Medical City North Hills is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,367. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.06x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$1,367

Average discount available for prompt cash payment at this facility.

Insurance Median
$166

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: $1,367 (871%)
Insurance Median: $166 (106%)
Cash: $1,367 (871% of Medicare)
Ins. Median: $166 (106% 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 Plan $96 - $114 61%
Humana $105 - $485 67%
Blue Cross Blue Shield $108 - $607 69%
Triwest Health Alliance $108 69%
Wellmed $108 69%
Amerigroup $109 69%
Devoted Health $109 69%
Mutual Of Omaha $109 69%
Triwest Veterans $109 69%
United $109 - $294 69%
Aetna $110 - $994 70%
Care N Care $110 70%
Cigna $111 - $1,094 71%
Integranet $112 71%
Wellcare $112 71%
American Health Plan Of Texas, Inc. $114 73%
Procare Advantge $114 73%
Provider Partners Health Plan $115 73%
Texas Independent Health Plan $115 73%
Cenpatico $119 76%
Molina $119 76%
Imperial Insurance Company $120 76%
Universal Healthcare Group $131 83%
Verda Health Plan $142 90%
Bravo Health $163 104%
Superior $195 - $244 124%
Usa Managed Care $207 - $1,094 132%
Corvel Corporation $216 138%
Molina Healthcare $285 182%
Unicare $287 - $1,367 183%
Healthcare Highways $335 - $462 213%
Evry Health $353 225%
Curative Administrators $547 348%
City Of Mckinney $615 392%
Fidelis Securecare $615 392%
National Choicecare $684 436%
Pc Texas Partners $752 479%
Physicians Coop Of Tx $752 479%
Rockport Health Group $752 479%
Averde Health, Inc $793 505%
Magellan Behavior Health $820 522%
Coastal Comp Health Networks $957 610%
Mega Life $957 610%
Multiplan Phcs $957 610%
Healthsmart Preferred Care $1,025 653%
Lewisville Isd/Dls Consulting $1,025 653%
Usc Health Services $1,094 697%
Galaxy Health Network $1,162 740%
Independent Medical Systems $1,367 871%
National Healthcare Solutions $1,367 871%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4401 Booth Calloway Road, North Richland Hills, TX 76180
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals