CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Medical City Plano

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $166
  • Cash Discount Price: $1,451
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Medical City Plano is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,451. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.06x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$1,451

Average discount available for prompt cash payment at this facility.

Insurance Median
$166

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: $1,451 (924%)
Insurance Median: $166 (106%)
Cash: $1,451 (924% of Medicare)
Ins. Median: $166 (106% 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.

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
Humana $99 - $485 63%
Blue Cross Blue Shield $102 - $644 65%
Superior Health Plan $102 - $110 65%
Triwest Health Alliance $102 65%
Wellmed $104 66%
Amerigroup $105 67%
Devoted Health $105 67%
Mutual Of Omaha $105 67%
Triwest Veterans $105 67%
United $105 - $263 67%
Aetna $106 - $878 68%
Care N Care $106 68%
Cigna $107 - $203 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%
Molina $114 73%
Imperial Insurance Company $115 73%
Universal Healthcare Group $126 80%
Verda Health Plan $136 87%
Bravo Health $157 100%
Superior $188 - $235 120%
Usa Managed Care $199 - $1,161 127%
Corvel Corporation $208 133%
Molina Healthcare $275 175%
Healthcare Highways $356 - $491 227%
Evry Health $374 238%
Lifecare Hospitals $435 277%
Curative Administrators $581 370%
Prominence Health Plan $581 370%
City Of Mckinney $653 416%
Fidelis Securecare $653 416%
National Choicecare $726 462%
Pc Texas Partners $798 508%
Physicians Coop Of Tx $798 508%
Rockport Health Group $798 508%
Averde Health, Inc $842 536%
Texas Healthcare Foundation Wc $943 601%
Coastal Comp Health Networks $1,016 647%
Mega Life $1,016 647%
Multiplan Phcs $1,016 647%
Healthsmart Preferred Care $1,089 694%
Lewisville Isd/Dls Consulting $1,089 694%
Usc Health Services $1,161 740%
Galaxy Health Network $1,234 786%
Independent Medical Systems $1,451 924%
National Healthcare Solutions $1,451 924%
Unicare $1,451 924%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 W 15Th St, Plano, TX 75075
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals