CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Baylor Scott and White Medical Center Frisco at Pg

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 and White Medical Center Frisco at Pg 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 7600 Better Way, 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.

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
Superior Health Plan	$49	39%
UnitedHealthcare	$162 - $180	128%
Baylor Scott & White Health Plan	$173 - $203	137%
Cigna	$173 - $203	137%
Blue Cross Blue Shield	$188 - $398	149%
Aetna	$193 - $210	153%
Employers Health Network	$193	153%
Quiktrip	$193	153%
Imagine Health	$201	159%
University Of Mary Hardin-Baylor	$203	161%
Ambetter / Centene	$228	181%
Curative	$228	181%
First Health	$245	194%
Healthsmart	$245 - $263	194%
Humana	$245	194%
Private Health Care System	$263	208%

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 $210.
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 Baylor Scott and White Medical Center Frisco at Pg 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.