CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Methodist Charlton Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $141
  • Cash Discount Price: $358
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Methodist Charlton Medical Center is $141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $358. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.12x the Medicare baseline. Located in 3500 W Wheatland Road, Dallas, TX.
Cash / Self-Pay
$358

Average discount available for prompt cash payment at this facility.

Insurance Median
$141

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: $358 (284%)
Insurance Median: $141 (112%)
Cash: $358 (284% of Medicare)
Ins. Median: $141 (112% 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
UnitedHealthcare $60 - $135 48%
Aetna $91 - $204 72%
Blue Cross Blue Shield $91 - $319 72%
Covid19 Hrsa Uninsured Testing And Treatment Fund [6005] $91 - $126 72%
Medicare (plans) $91 - $135 72%
Ust Health Proof [1005] $91 - $126 72%
Wellcare [7016] $91 - $126 72%
American Health Advantage Of Texas [7099] $95 - $132 75%
Cigna $95 - $233 75%
Globalhealth [1003] $95 - $132 75%
Procare Advantage [7018] $95 - $132 75%
Humana $96 - $133 76%
Southwestern Health Resources Swhr [7015] $96 - $133 76%
Provider Partners Health Plan [7025] $98 - $136 78%
Coralvita [9216] $109 - $151 86%
Alternative Service Concepts [8005] $113 - $157 90%
Oscar Insurance Company [2057] $118 - $164 93%
Bright Healthcare [2222] $127 - $176 101%
Molina [3017] $132 - $182 105%
Wellpoint Marketplace Exchange [3071] $141 - $195 112%
Kempton Group Administrators, Tower Extrusions [3061] $145 - $201 115%
90 Degree Benefit [3057] $150 - $208 119%
Allied National [2031] $150 - $208 119%
Entrust/90 Degree [2058] $150 - $208 119%
Friday Health Plan [2061] $154 - $214 122%
Ambetter / Centene $155 - $215 123%
Imperial Insurance Companies [3073] $163 - $227 129%
Web Tpa [3049] $168 - $233 133%
Department Of Labor [8004] $182 - $252 144%
Evry Health [1013] $182 - $252 144%
Generic Workers Comp Tx Non Par [9010] $182 - $252 144%
Generic Workers Comp Tx Par [8002] $182 - $252 144%
Generic Workers Comp Tx Par [9011] $182 - $252 144%
Sana Benefits [3069] $182 - $252 144%
Velocity [3070] $182 - $252 144%
Health Plans Inc [5017] $227 - $315 180%
Medical Cost Containment Professionals [3059] $227 - $315 180%
Dart Member Care [3039] $245 - $340 194%
Healthscope Benefits [2052] $245 - $340 194%
Healthscope Benefits [3063] $245 - $340 194%
Medicaid / KanCare $257 - $292 204%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3500 W Wheatland Road, Dallas, TX 75237
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals