CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Medical City Weatherford

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $112
Cash Discount Price: $921
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Medical City Weatherford is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $921. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.89x the Medicare baseline. Located in 713 E Anderson St, Weatherford, TX.

Cash / Self-Pay

$921

Average discount available for prompt cash payment at this facility.

Insurance Median

$112

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: $921 (730%)

Insurance Median: $112 (89%)

Cash: $921 (730% of Medicare)

Ins. Median: $112 (89% 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.

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	$64 - $91	51%
Blue Cross Blue Shield	$85 - $425	67%
Triwest Health Alliance	$85	67%
Wellmed	$86	68%
Amerigroup	$87	69%
Care N Care	$87	69%
Devoted Health	$87	69%
Humana	$87 - $401	69%
Mutual Of Omaha	$87	69%
Triwest Veterans	$87	69%
United	$87 - $222	69%
Cigna	$88 - $129	70%
Integranet	$89	70%
Wellcare	$89	70%
American Health Plan Of Texas, Inc.	$91	72%
Procare Advantge	$91	72%
Provider Partners Health Plan	$92	73%
Texas Independent Health Plan	$92	73%
Imperial Insurance Company	$95	75%
Verda Health Plan	$112	89%
Molina	$138	109%
Aetna	$155 - $542	123%
Superior	$155 - $194	123%
Molina Healthcare	$227	180%
Evry Health	$238	189%
Multiplan Phcs	$645	511%
Healthsmart Preferred Care	$654	518%
Parker County	$691	547%
Independent Medical Systems	$921	730%
National Healthcare Solutions	$921	730%

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 $921.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77067.

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 77067.
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.