CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Baylor Scott & White Medical Center - Centennial

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $203
  • Cash Discount Price: $210
  • vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Baylor Scott & White Medical Center - Centennial is $203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $210. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.61x the Medicare baseline. Located in 12505 Lebanon Road, Frisco, TX.
Cash / Self-Pay
$210

Average discount available for prompt cash payment at this facility.

Insurance Median
$203

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: $210 (166%)
Insurance Median: $203 (161%)
Cash: $210 (166% of Medicare)
Ins. Median: $203 (161% 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 $56 44%
Wellpoint (Fka Amerigroup) $56 44%
UnitedHealthcare $156 - $173 124%
Baylor Scott & White Health Plan $173 - $203 137%
Cigna $173 - $203 137%
Aetna $193 153%
Employers Health Network $193 153%
Quiktrip $193 153%
Imagine Health $201 159%
University Of Mary Hardin-Baylor $203 161%
Blue Cross Blue Shield $216 - $456 171%
Ambetter / Centene $228 181%
Curative $228 181%
First Health $245 194%
Healthsmart $245 - $263 194%
Humana $245 194%
Private Health Care System $263 208%
Triwest $263 208%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12505 Lebanon Road, Frisco, TX 75035
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals