CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Medical City North Hills

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $135
  • Cash Discount Price: $653
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Medical City North Hills is $135. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $653. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.07x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$653

Average discount available for prompt cash payment at this facility.

Insurance Median
$135

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $653 (517%)
Insurance Median: $135 (107%)
Cash: $653 (517% of Medicare)
Ins. Median: $135 (107% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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 $46 - $94 36%
Humana $87 - $401 69%
Cigna $88 - $522 70%
Blue Cross Blue Shield $89 - $425 70%
Triwest Health Alliance $89 70%
Wellmed $89 70%
Amerigroup $90 71%
Devoted Health $90 71%
Mutual Of Omaha $90 71%
Triwest Veterans $90 71%
United $90 - $217 71%
Aetna $91 - $475 72%
Care N Care $91 72%
Integranet $93 74%
Wellcare $93 74%
American Health Plan Of Texas, Inc. $94 74%
Procare Advantge $94 74%
Provider Partners Health Plan $95 75%
Texas Independent Health Plan $95 75%
Cenpatico $98 78%
Molina $98 78%
Imperial Insurance Company $99 78%
Universal Healthcare Group $108 86%
Verda Health Plan $117 93%
Bravo Health $135 107%
Unicare $137 - $653 109%
Healthcare Highways $160 - $221 127%
Superior $161 - $201 128%
Evry Health $168 133%
Usa Managed Care $171 - $522 135%
Corvel Corporation $178 141%
Molina Healthcare $235 186%
Curative Administrators $261 207%
City Of Mckinney $294 233%
Fidelis Securecare $294 233%
National Choicecare $327 259%
Pc Texas Partners $359 284%
Physicians Coop Of Tx $359 284%
Rockport Health Group $359 284%
Averde Health, Inc $379 300%
Magellan Behavior Health $392 310%
Coastal Comp Health Networks $457 362%
Mega Life $457 362%
Multiplan Phcs $457 362%
Healthsmart Preferred Care $490 388%
Lewisville Isd/Dls Consulting $490 388%
Usc Health Services $522 413%
Galaxy Health Network $555 440%
Independent Medical Systems $653 517%
National Healthcare Solutions $653 517%

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