CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Medical City Arlington

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $166
  • Cash Discount Price: $1,663
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Medical City Arlington is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,663. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.06x the Medicare baseline. Located in 3301 Matlock Road, Arlington, TX.
Cash / Self-Pay
$1,663

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: $1,663 (1059%)
Insurance Median: $166 (106%)
Cash: $1,663 (1059% 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 $105 - $515 67%
Blue Cross Blue Shield $108 - $738 69%
Triwest Health Alliance $108 69%
Wellmed $108 69%
Amerigroup $109 69%
Devoted Health $109 69%
Mutual Of Omaha $109 69%
Triwest Veterans $109 69%
United $109 - $313 69%
Aetna $110 - $1,209 70%
Care N Care $110 70%
Cigna $111 - $233 71%
Integranet $112 71%
Wellcare $112 71%
American Health Plan Of Texas, Inc. $114 73%
Procare Advantge $114 73%
Superior Health Plan $114 - $116 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 - $1,330 132%
Corvel Corporation $216 138%
Molina Healthcare $285 182%
Unicare $316 - $1,663 201%
Healthcare Highways $407 - $562 259%
Evry Health $429 273%
Curative Administrators $665 424%
City Of Mckinney $748 476%
Fidelis Securecare $748 476%
Global Sports Services $831 529%
National Choicecare $831 529%
Pc Texas Partners $914 582%
Physicians Coop Of Tx $914 582%
Rockport Health Group $914 582%
Averde Health, Inc $964 614%
Coastal Comp Health Networks $1,164 741%
Mega Life $1,164 741%
Multiplan Phcs $1,164 741%
Healthsmart Preferred Care $1,180 752%
Lewisville Isd/Dls Consulting $1,247 794%
Usc Health Services $1,330 847%
Galaxy Health Network $1,413 900%
Texas Instruments $1,496 953%
Independent Medical Systems $1,663 1059%
National Healthcare Solutions $1,663 1059%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3301 Matlock Road, Arlington, TX 76015
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals