CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Medical City Plano

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$137

about 0.9× the $157 Medicare rate · typically $111–$215

modeled estimate · not a bill or quote

What this hospital charges insurers

$131

About the fair price

about $6 under the fair price · 0.8× Medicare

Medicare pays $157 Fair price $137 This hospital $131 Cash price $1,451 Hospital's list price $1,451

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $46 Priciest $131

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Diagnostic mammogram (both breasts) is about $137 (about 0.9× the $157 Medicare rate). Medical City Plano charges insurers about $131, or about $1,451 in cash — about the fair price. Located in Plano, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$105 - $263	67%
Blue Cross Blue Shieldmajor	$102 - $644	65%
Aetnamajor	$106 - $878	68%
Cignamajor	$107 - $203	68%
Humanamajor	$99 - $485	63%
Amerigroup	$105	67%
Devoted Health	$105	67%
Fidelis Care	$653	416%
Health Net	$1,016	647%
Healthcare Highways	$356 - $491	227%
Independent Health	$111	71%
Molina	$114 - $275	73%
UniCare	$1,451	924%
WellCare	$108	69%
WellMed	$104	66%
+ 26 smaller / regional plans	$105 - $1,451

Government programs also on file: Medicaid, Military & VA.

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,451), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77066.

Insurance Before you use insurance

Call your insurance company to confirm Medical City Plano is in-network.
Ask your insurer whether prior approval is required for CPT code 77066.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Medical City Plano

Compare: Diagnostic mammogram (both breasts) at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.