CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Dallas Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $95
Cash Discount Price: $90
vs. Medicare Baseline: 0.75x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Dallas Medical Center is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.75x the Medicare baseline. Located in 7 Medical Parkway, Dallas, TX.

Cash / Self-Pay

$90

Average discount available for prompt cash payment at this facility.

Insurance Median

$95

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: $90 (71%)

Insurance Median: $95 (75%)

Cash: $90 (71% of Medicare)

Ins. Median: $95 (75% 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
Careworks Fka (Rockport Community Network)	$86	68%
Coastal Comp	$88 - $423	70%
Aetna	$91 - $150	72%
Blue Cross Blue Shield	$91 - $493	72%
Care N Care Insurance Company	$91	72%
Cigna	$91 - $93	72%
Humana	$91	72%
Medicare (plans)	$91	72%
Superior Health Plan	$91 - $118	72%
Texas Bluebonnett Health Plan	$91 - $150	72%
Texas First Hp	$91	72%
Tricare	$91	72%
UnitedHealthcare	$91 - $120	72%
Usa Senior Care Network	$91	72%
Wellcare	$91	72%
Wellmed	$91	72%
Wellpoint Amerigroup	$91 - $93	72%
Molina	$95 - $141	75%
Provider Partners Health Plan	$95	75%
Imperial Insurance Company	$96	76%
American Health Plan	$100	79%
Dol Office Worker Compensation	$113	90%
Hi Card	$113	90%
American Correction Healthcare	$125	99%
Employer Direct Healthcare	$127	101%
Corporate Remedies	$136	108%
Naphcare	$141	112%
Worker Compensation	$182	144%
Injury Management Org	$419	332%
Sedgwick	$437	346%

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 $90.
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 Dallas Medical Center 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.