CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Methodist Midlothian Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $211
  • Cash Discount Price: $580
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Methodist Midlothian Medical Center is $211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $580. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.34x the Medicare baseline. Located in 1201 E Highway 287, Midlothian, TX.
Cash / Self-Pay
$580

Average discount available for prompt cash payment at this facility.

Insurance Median
$211

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: $580 (369%)
Insurance Median: $211 (134%)
Cash: $580 (369% of Medicare)
Ins. Median: $211 (134% 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
Aetna $156 - $253 99%
Blue Cross Blue Shield $156 - $166 99%
Covid19 Hrsa Uninsured Testing And Treatment Fund [6005] $156 99%
Medicare (plans) $156 - $167 99%
UnitedHealthcare $156 - $196 99%
Ust Health Proof [1005] $156 99%
Wellcare [7016] $156 99%
American Health Advantage Of Texas [7099] $164 104%
Cigna $164 - $289 104%
Globalhealth [1003] $164 104%
Procare Advantage [7018] $164 104%
Humana $166 106%
Southwestern Health Resources Swhr [7015] $166 106%
Provider Partners Health Plan [7025] $169 108%
Alternative Service Concepts [8005] $196 125%
Oscar Insurance Company [2057] $203 129%
Bright Healthcare [2222] $219 140%
Molina [3017] $227 145%
Wellpoint Marketplace Exchange [3071] $242 154%
Kempton Group Administrators, Tower Extrusions [3061] $250 159%
90 Degree Benefit [3057] $258 164%
Allied National [2031] $258 164%
Entrust/90 Degree [2058] $258 164%
Friday Health Plan [2061] $266 169%
Ambetter / Centene $267 170%
Imperial Insurance Companies [3073] $282 180%
Web Tpa [3049] $289 184%
Department Of Labor [8004] $313 199%
Evry Health [1013] $313 199%
Generic Workers Comp Tx Non Par [9010] $313 199%
Generic Workers Comp Tx Par [8002] $313 199%
Generic Workers Comp Tx Par [9011] $313 199%
Sana Benefits [3069] $313 199%
Tristar Risk Management [8006] $313 199%
Velocity [3070] $313 199%
Health Plans Inc [5017] $391 249%
Medical Cost Containment Professionals [3059] $391 249%
Dart Member Care [3039] $422 269%
Healthscope Benefits [2052] $422 269%
Healthscope Benefits [3063] $422 269%
Medicaid / KanCare $844 538%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1201 E Highway 287, Midlothian, TX 76065
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals