CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Medical City Weatherford

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $136
Cash Discount Price: $1,059
vs. Medicare Baseline: 0.87x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Medical City Weatherford is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,059. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.87x the Medicare baseline. Located in 713 E Anderson St, Weatherford, TX.

Cash / Self-Pay

$1,059

Average discount available for prompt cash payment at this facility.

Insurance Median

$136

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: $1,059 (675%)

Insurance Median: $136 (87%)

Cash: $1,059 (675% of Medicare)

Ins. Median: $136 (87% 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.

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
Superior Health Plan	$74 - $110	47%
Blue Cross Blue Shield	$102 - $514	65%
Triwest Health Alliance	$102	65%
Wellmed	$104	66%
Amerigroup	$105	67%
Devoted Health	$105	67%
Humana	$105 - $485	67%
Mutual Of Omaha	$105	67%
Triwest Veterans	$105	67%
United	$105 - $263	67%
Care N Care	$106	68%
Cigna	$107 - $148	68%
Integranet	$108	69%
Wellcare	$108	69%
American Health Plan Of Texas, Inc.	$110	70%
Procare Advantge	$110	70%
Provider Partners Health Plan	$111	71%
Texas Independent Health Plan	$111	71%
Imperial Insurance Company	$115	73%
Verda Health Plan	$136	87%
Molina	$167	106%
Aetna	$188 - $624	120%
Superior	$188 - $235	120%
Evry Health	$273	174%
Molina Healthcare	$275	175%
Multiplan Phcs	$742	473%
Healthsmart Preferred Care	$752	479%
Parker County	$795	506%
Independent Medical Systems	$1,059	675%
National Healthcare Solutions	$1,059	675%

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 $1,059.
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 Medical City Weatherford 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.