CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Union Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $182
  • Cash Discount Price: $425
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Union Hospital is $182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $425. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.16x the Medicare baseline. Located in 659 Boulevard, Dover, OH.
Cash / Self-Pay
$425

Average discount available for prompt cash payment at this facility.

Insurance Median
$182

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: $425 (271%)
Insurance Median: $182 (116%)
Cash: $425 (271% of Medicare)
Ins. Median: $182 (116% 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
Summacare $29 - $458 18%
Aetna $44 - $654 28%
Blue Cross Blue Shield $44 - $348 28%
Cigna $44 - $294 28%
Humana $44 - $208 28%
The Health Plan $44 - $562 28%
United $44 - $323 28%
Valor $44 - $208 28%
Buckeye $45 29%
Caresource $45 29%
Aultcare $46 - $294 29%
Communicare $46 - $218 29%
Mmo $46 - $458 29%
Molina $48 31%
Perennial Health $48 - $225 31%
Pphp $48 - $109 31%
Zing Health $49 - $196 31%
Amerihealth $50 32%
Cc Ehp $50 - $488 32%
Oscar $96 - $251 61%
Ohcp $140 - $318 89%
Omas $180 - $327 115%
Healthsmart $199 - $360 127%
Devoted Health $208 133%
Upmc $208 - $392 133%
Phphi $217 - $392 138%
Gms $253 - $458 161%
Consociate Health $271 - $490 173%
Amish Community Aid Plan $294 - $327 187%
Multiplan $325 - $589 207%
Ohio Healthy $353 225%
Php $392 250%
Medical Benefit Corp $458 292%
Frontpath $589 375%
Managed Care Services $589 375%
Tertiary Care Network $589 375%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 659 Boulevard, Dover, OH 44622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals