CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Medical City Fort Worth

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $119
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Medical City Fort Worth is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.76x the Medicare baseline. Located in 900 Eighth Avenue, Fort Worth, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$119

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%)

Insurance Median: $119 (76%)

Ins. Median: $119 (76% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$105 - $485	67%
Blue Cross Blue Shield	$108 - $514	69%
Triwest Health Alliance	$108	69%
Wellmed	$108	69%
Amerigroup	$109	69%
Devoted Health	$109	69%
Mutual Of Omaha	$109	69%
Triwest	$109	69%
United	$109 - $263	69%
Aetna	$110 - $324	70%
Care N Care	$110	70%
Cigna	$111	71%
Integranet	$112	71%
Wellcare	$112	71%
American Health Plan Of Texas, Inc.	$114	73%
Procare Advantge	$114	73%
Superior Health Plan	$114	73%
Provider Partners Health Plan	$115	73%
Texas Independent Health Plan	$115	73%
Molina	$119	76%
Imperial Insurance Company	$120	76%
Universal Healthcare Group	$131	83%
Verda Health Plan	$142	90%
Bravo Health	$163	104%
Superior	$195 - $244	124%
Usa Managed Care	$207	132%
Corvel Corporation	$216	138%
Molina Healthcare	$285	182%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medical City Fort Worth is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.