CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Medical City Arlington

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $200
  • Cash Discount Price: $912
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Medical City Arlington is $200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $912. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.58x the Medicare baseline. Located in 3301 Matlock Road, Arlington, TX.
Cash / Self-Pay
$912

Average discount available for prompt cash payment at this facility.

Insurance Median
$200

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: $912 (722%)
Insurance Median: $200 (158%)
Cash: $912 (722% of Medicare)
Ins. Median: $200 (158% 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 $54 - $94 43%
Humana $87 - $401 69%
Blue Cross Blue Shield $89 - $468 70%
Triwest Health Alliance $89 70%
Wellmed $89 70%
Amerigroup $90 71%
Devoted Health $90 71%
Mutual Of Omaha $90 71%
Triwest Veterans $90 71%
United $90 - $217 71%
Aetna $91 - $767 72%
Care N Care $91 72%
Cigna $92 - $148 73%
Integranet $93 74%
Wellcare $93 74%
American Health Plan Of Texas, Inc. $94 74%
Procare Advantge $94 74%
Provider Partners Health Plan $95 75%
Texas Independent Health Plan $95 75%
Molina $98 78%
Imperial Insurance Company $99 78%
Universal Healthcare Group $108 86%
Verda Health Plan $117 93%
Bravo Health $135 107%
Unicare $146 - $1,054 116%
Superior $161 - $201 128%
Usa Managed Care $171 - $844 135%
Corvel Corporation $178 141%
Healthcare Highways $189 - $356 150%
Evry Health $199 - $272 158%
Molina Healthcare $235 186%
Curative Administrators $308 - $422 244%
City Of Mckinney $346 - $475 274%
Fidelis Securecare $346 - $475 274%
Global Sports Services $385 - $527 305%
National Choicecare $385 - $527 305%
Pc Texas Partners $423 - $580 335%
Physicians Coop Of Tx $423 - $580 335%
Rockport Health Group $423 - $580 335%
Averde Health, Inc $447 - $612 354%
Coastal Comp Health Networks $539 - $738 427%
Mega Life $539 - $738 427%
Multiplan Phcs $539 - $738 427%
Healthsmart Preferred Care $547 - $749 433%
Lewisville Isd/Dls Consulting $577 - $791 457%
Usc Health Services $616 - $844 488%
Galaxy Health Network $654 - $896 518%
Texas Instruments $693 - $949 549%
Independent Medical Systems $770 - $1,054 610%
National Healthcare Solutions $770 - $1,054 610%

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