CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Medical City Lewisville

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $165
  • Cash Discount Price: $1,216
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Medical City Lewisville is $165. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,216. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.05x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$1,216

Average discount available for prompt cash payment at this facility.

Insurance Median
$165

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: $1,216 (775%)
Insurance Median: $165 (105%)
Cash: $1,216 (775% of Medicare)
Ins. Median: $165 (105% 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
Superior Health Plan $85 - $110 54%
Humana $99 - $485 63%
Blue Cross Blue Shield $102 - $540 65%
Wellmed $104 66%
Amerigroup $105 67%
Devoted Health $105 67%
Mutual Of Omaha $105 67%
Triwest Health Alliance $105 67%
United $105 - $263 67%
Aetna $106 - $884 68%
Care N Care $106 68%
Cigna $107 - $170 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 - $973 127%
Corvel Corporation $208 133%
Molina Healthcare $275 175%
Unicare $292 - $1,216 186%
Healthcare Highways $298 - $411 190%
Evry Health $314 200%
Curative Administrators $486 310%
City Of Mckinney $547 348%
Fidelis Securecare $547 348%
National Choicecare $608 387%
Pc Texas Partners $669 426%
Physicians Coop Of Tx $669 426%
Rockport Health Group $669 426%
Averde Health, Inc $705 449%
Usc Health Services $730 465%
Coastal Comp Health Networks $851 542%
Jostens $851 542%
Mega Life $851 542%
Multiplan Phcs $851 542%
Healthsmart Preferred Care $912 581%
Lewisville Isd/Dls Consulting $912 581%
Galaxy Health Network $1,034 659%
Independent Medical Systems $1,216 775%
National Healthcare Solutions $1,216 775%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals