CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Medical City Alliance

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $119
  • Cash Discount Price: $1,549
  • vs. Medicare Baseline: 0.76x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Medical City Alliance is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,549. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.76x the Medicare baseline. Located in 3101 North Tarrant Parkway, Fort Worth, TX.
Cash / Self-Pay
$1,549

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%)
Cash / Self-Pay: $1,549 (987%)
Insurance Median: $119 (76%)
Cash: $1,549 (987% of Medicare)
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.

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 - $688 69%
Superior Health Plan $108 - $114 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 - $352 69%
Aetna $110 - $1,126 70%
Care N Care $110 70%
Cigna $111 - $217 71%
Integranet $112 71%
Wellcare $112 71%
American Health Plan Of Texas, Inc. $114 73%
Procare Advantge $114 73%
Provider Partners Health Plan $115 73%
Texas Independent Health Plan $115 73%
Molina $119 76%
Imperial Insurance Company $120 76%
Verda Health Plan $142 90%
Superior $195 - $244 124%
Molina Healthcare $285 182%
Healthcare Highways $379 - $523 241%
Evry Health $400 255%
Curative Administrators $619 394%
Multiplan Phcs $1,084 691%
Healthsmart Preferred Care $1,161 740%
Independent Medical Systems $1,549 987%
National Healthcare Solutions $1,549 987%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3101 North Tarrant Parkway, Fort Worth, TX 76177
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals