CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Wooster Community Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $201
  • Cash Discount Price: $252
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Wooster Community Hospital is $201. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $252. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.28x the Medicare baseline. Located in 1761 Beall Avenue, Wooster, OH.
Cash / Self-Pay
$252

Average discount available for prompt cash payment at this facility.

Insurance Median
$201

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: $252 (161%)
Insurance Median: $201 (128%)
Cash: $252 (161% of Medicare)
Ins. Median: $201 (128% 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
Buckeye Mcaid-All Other Plans $45 29%
Caresource Mcaid $45 29%
UnitedHealthcare $45 - $239 29%
Molina Mcaid $46 29%
Blue Cross Blue Shield $47 - $231 30%
Aetna $48 - $252 31%
Amerihealth Mcaid-All Plans $48 31%
Aultcare/Primecare Mcr Adv $123 78%
Tricare $144 92%
Buckeye Mcare $146 93%
Caresource Mcr Adv $146 93%
Humana $146 - $236 93%
Med Mutual Of Oh Mcr $146 93%
Molina Mcr $146 93%
Summacare Mcr $146 93%
The Health Plan Mcr Adv $146 93%
Valor Hp Mcr-All Plans $146 93%
Cerco-All Plans $176 112%
Aultcare Wayne County $189 120%
Aultcare/Primetime Exch $189 120%
Rayco-All Plans $189 120%
Healthsmart Complete Ppo-All Other Plans $190 121%
Magnipower-All Plans $190 121%
Christian Health Ministries-All Plans $201 128%
Cigna $201 128%
Health Ohio Network Employer $201 128%
Wayne County-All Plans $201 128%
Caresource Exch - All Other Plans $209 133%
Healthsmart Accel $209 133%
Summacare Preferred Choice $209 133%
Health Ohio Network Ppo-All Other Plans $214 136%
Ohio Health Choice Supp $214 136%
Ohio Health Group Hlthy - All Other Plans $214 136%
Med Mutual Of Oh Exchange $216 138%
Med Mutual Of Oh Supermed $216 138%
Med Mutual Of Oh Trad-All Other Plans $216 138%
Health Plan Of Upper Ohio-All Plans $222 141%
The Health Plan Comm - All Other Plans $222 141%
Ohio Health Group Pref $224 143%
Aultcare/Primetime-All Other Plans $226 144%
Healthsmart Ppo $229 146%
Summacare-All Other Plans $234 149%
Ohio Health Choice-All Other Plans $236 150%
Healthsmart Hpo $239 152%
Osu-All Plans $239 152%
Central Benefits-All Plans $242 154%
First Health-All Plans $242 154%
Flora-All Plans $242 154%
Beech Street-All Plans $244 155%
Phcs-All Plans $244 155%
Molina Marketplace - All Other Plans $249 159%
Clarity Health - All Plans $286 182%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1761 Beall Avenue, Wooster, OH 44691
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals