CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Medical City Plano

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $130
  • Cash Discount Price: $920
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Medical City Plano is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $920. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.03x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$920

Average discount available for prompt cash payment at this facility.

Insurance Median
$130

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: $920 (729%)
Insurance Median: $130 (103%)
Cash: $920 (729% of Medicare)
Ins. Median: $130 (103% 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 $64 - $91 51%
Humana $82 - $401 65%
Blue Cross Blue Shield $85 - $425 67%
Triwest Health Alliance $85 67%
Wellmed $86 68%
Aetna $87 - $557 69%
Amerigroup $87 69%
Care N Care $87 69%
Devoted Health $87 69%
Mutual Of Omaha $87 69%
Triwest Veterans $87 69%
United $87 - $217 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%
Molina $94 74%
Imperial Insurance Company $95 75%
Universal Healthcare Group $104 82%
Verda Health Plan $112 89%
Bravo Health $130 103%
Superior $155 - $194 123%
Usa Managed Care $164 - $736 130%
Corvel Corporation $171 135%
Healthcare Highways $226 - $311 179%
Molina Healthcare $227 180%
Evry Health $237 188%
Lifecare Hospitals $276 219%
Curative Administrators $368 291%
Prominence Health Plan $368 291%
City Of Mckinney $414 328%
Fidelis Securecare $414 328%
National Choicecare $460 364%
Pc Texas Partners $506 401%
Physicians Coop Of Tx $506 401%
Rockport Health Group $506 401%
Averde Health, Inc $534 423%
Texas Healthcare Foundation Wc $598 474%
Coastal Comp Health Networks $644 510%
Mega Life $644 510%
Multiplan Phcs $644 510%
Healthsmart Preferred Care $690 547%
Lewisville Isd/Dls Consulting $690 547%
Usc Health Services $736 583%
Galaxy Health Network $782 619%
Independent Medical Systems $920 729%
National Healthcare Solutions $920 729%
Unicare $920 729%

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