CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Medical City Dallas Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $147
  • Cash Discount Price: $993
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Medical City Dallas Hospital is $147. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $993. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.16x the Medicare baseline. Located in 7777 Forest Lane, Dallas, TX.
Cash / Self-Pay
$993

Average discount available for prompt cash payment at this facility.

Insurance Median
$147

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: $993 (787%)
Insurance Median: $147 (116%)
Cash: $993 (787% of Medicare)
Ins. Median: $147 (116% 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 $69 - $95 55%
Humana $87 - $401 69%
Blue Cross Blue Shield $90 - $441 71%
Triwest Health Alliance $90 71%
Wellmed $90 71%
Amerigroup $91 72%
Devoted Health $91 72%
Mutual Of Omaha $91 72%
Triwest Veterans $91 72%
United $91 - $217 72%
Aetna $92 - $585 73%
Care N Care $92 73%
Cigna $93 - $546 74%
Integranet $93 74%
Wellcare $93 74%
American Health Plan Of Texas, Inc. $95 75%
Procare Advantge $95 75%
Provider Partners Health Plan $96 76%
Texas Independent Health Plan $96 76%
Molina $99 78%
Imperial Insurance Company $100 79%
UnitedHealthcare $109 - $883 86%
Universal Healthcare Group $109 86%
Verda Health Plan $118 93%
Bravo Health $136 108%
Superior $162 - $203 128%
Usa Managed Care $172 - $794 136%
Corvel Corporation $180 143%
Religious Order Of Jehovah Witness $199 158%
Molina Healthcare $238 189%
Unicare $238 - $993 189%
Healthcare Highways $243 - $336 192%
Evry Health $256 203%
Curative Administrators $397 314%
Prominence Health Plan $397 314%
City Of Mckinney $447 354%
Fidelis Securecare $447 354%
Emerging Therapy Solutions $486 - $695 385%
National Choicecare $496 393%
Pc Texas Partners $546 432%
Physicians Coop Of Tx $546 432%
Rockport Health Group $546 432%
Texas Instruments $556 440%
Averde Health, Inc $576 456%
Coastal Comp Health Networks $695 550%
Mega Life $695 550%
Multiplan Phcs $695 550%
Healthsmart Preferred Care $705 558%
Lewisville Isd/Dls Consulting $744 589%
Usc Health Services $794 629%
Galaxy Health Network $844 669%
Independent Medical Systems $993 787%
National Healthcare Solutions $993 787%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7777 Forest Lane, Dallas, TX 75230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals