CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Methodist Celina Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $195
Cash Discount Price: $358
vs. Medicare Baseline: 1.54x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Methodist Celina Medical Center is $195. 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 1.54x the Medicare baseline. Located in 1500 S Dallas Parkway, Celina, TX.

Cash / Self-Pay

$358

Average discount available for prompt cash payment at this facility.

Insurance Median

$195

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: $195 (154%)

Cash: $358 (284% of Medicare)

Ins. Median: $195 (154% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$126 - $204	100%
Blue Cross Blue Shield	$126 - $346	100%
Mcs Advantage, Inc Classicare [7021]	$126	100%
Medicare (plans)	$126 - $135	100%
UnitedHealthcare	$126 - $133	100%
Ust Health Proof [1005]	$126	100%
Wellcare [7016]	$126	100%
American Health Advantage Of Texas [7099]	$132	105%
Cigna	$132 - $133	105%
Humana	$133	105%
Southwestern Health Resources Swhr [7015]	$133	105%
Oscar Insurance Company [2057]	$164	130%
Molina [3017]	$182	144%
Wellpoint Marketplace Exchange [3071]	$195	154%
Kempton Group Administrators, Tower Extrusions [3061]	$201	159%
90 Degree Benefit [3057]	$208	165%
Allied National [2031]	$208	165%
Entrust/90 Degree [2058]	$208	165%
Department Of Labor [8004]	$252	200%
Evry Health [1013]	$252	200%
Generic Workers Comp Tx Non Par [9010]	$252	200%
Generic Workers Comp Tx Par [8002]	$252	200%
Generic Workers Comp Tx Par [9011]	$252	200%
Sana Benefits [3069]	$252	200%
Velocity [3070]	$252	200%
Health Plans Inc [5017]	$315	250%
Medical Cost Containment Professionals [3059]	$315	250%
Medicaid / KanCare	$505 - $574	400%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $358.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77067.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Methodist Celina Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77067.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.