CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: University Hospitals Samaritan Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $564
  • Cash Discount Price: $504
  • vs. Medicare Baseline: 3.59x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at University Hospitals Samaritan Medical Center is $564. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $504. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 3.59x the Medicare baseline. Located in 1025 Center St, Ashland, OH.
Cash / Self-Pay
$504

Average discount available for prompt cash payment at this facility.

Insurance Median
$564

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: $504 (321%)
Insurance Median: $564 (359%)
Cash: $504 (321% of Medicare)
Ins. Median: $564 (359% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 359% of the Medicare baseline (a markup of 259%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $102 - $577 65%
Blue Cross Blue Shield $102 - $607 65%
Cigna $102 - $620 65%
Devoted Health $102 65%
Humana $102 65%
Molina $102 65%
Primetime Health Plan $102 65%
Summacare $102 - $612 65%
The Health Plan $102 - $591 65%
UnitedHealthcare $102 - $620 65%
Wellcare By Allwell $102 65%
Paramount $105 67%
Perennial Advantage Of Ohio $107 68%
Valor Health Plans $107 68%
University Health Employee Plan (Contigo) $129 82%
Ambetter / Centene $184 117%
Caresource $184 117%
Medical Mutual Of Ohio $238 - $666 152%
Amish Aid Community Plan $309 197%
Amish Church Fund And Workers Aid Plan $309 197%
Buckeye Plain Ministries $309 197%
Christian Healthcare Ministries $336 214%
Immergrun $336 214%
Sunrise Plain Communities $336 214%
Medical Mutual Traditional/Health Ohio $470 299%
Beech Street $538 - $605 343%
Ohio Preferred Network $538 - $605 343%
First Health $558 355%
Century Health Network $571 364%
Ohio Health Choice $571 - $605 364%
Private Healthcare System $578 368%
Aultcare $605 385%
Clarity $605 385%
Configurenet $605 385%
Fortified Provider Network $605 385%
Healthsmart $605 385%
Jp Farley $605 385%
Multiplan $605 385%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1025 Center St, Ashland, OH 44805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals