CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Medical City Lewisville

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $137
  • Cash Discount Price: $1,250
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Medical City Lewisville is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,250. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.09x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$1,250

Average discount available for prompt cash payment at this facility.

Insurance Median
$137

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: $1,250 (990%)
Insurance Median: $137 (109%)
Cash: $1,250 (990% of Medicare)
Ins. Median: $137 (109% 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
Humana $82 - $401 65%
Blue Cross Blue Shield $85 - $555 67%
Wellmed $86 68%
Aetna $87 - $908 69%
Amerigroup $87 69%
Care N Care $87 69%
Devoted Health $87 69%
Mutual Of Omaha $87 69%
Superior Health Plan $87 - $91 69%
Triwest Health Alliance $87 69%
United $87 - $249 69%
Cigna $88 - $175 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 - $1,000 130%
Corvel Corporation $171 135%
Molina Healthcare $227 180%
Unicare $300 - $1,250 238%
Healthcare Highways $306 - $422 242%
Evry Health $322 255%
Curative Administrators $500 396%
City Of Mckinney $562 445%
Fidelis Securecare $562 445%
National Choicecare $625 495%
Pc Texas Partners $687 544%
Physicians Coop Of Tx $687 544%
Rockport Health Group $687 544%
Averde Health, Inc $725 574%
Usc Health Services $750 594%
Coastal Comp Health Networks $875 693%
Jostens $875 693%
Mega Life $875 693%
Multiplan Phcs $875 693%
Healthsmart Preferred Care $937 742%
Lewisville Isd/Dls Consulting $937 742%
Galaxy Health Network $1,062 841%
Independent Medical Systems $1,250 990%
National Healthcare Solutions $1,250 990%

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