CMS Price Transparency Data
Screening mammogram (both breasts)
Facility: Wooster Community Hospital
Billing Code: 77067 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77067
- Insurance Median: $200
- Cash Discount Price: $239
- vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Wooster Community Hospital is $200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $239. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.58x the Medicare baseline. Located in 1761 Beall Avenue, Wooster, OH.
Cash / Self-Pay
$239
Average discount available for prompt cash payment at this facility.
Insurance Median
$200
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: $239 (189%)
Insurance Median: $200 (158%)
Cash: $239 (189% of Medicare)
Ins. Median: $200 (158% 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
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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 | 36% |
| Caresource Mcaid | $45 | 36% |
| UnitedHealthcare | $45 - $239 | 36% |
| Molina Mcaid | $46 | 36% |
| Blue Cross Blue Shield | $47 - $231 | 37% |
| Aetna | $48 - $252 | 38% |
| Amerihealth Mcaid-All Plans | $48 | 38% |
| Aultcare/Primecare Mcr Adv | $111 - $123 | 88% |
| Tricare | $115 | 91% |
| Buckeye Mcare | $118 | 93% |
| Caresource Mcr Adv | $118 | 93% |
| Humana | $118 - $236 | 93% |
| Med Mutual Of Oh Mcr | $118 | 93% |
| Molina Mcr | $118 | 93% |
| Summacare Mcr | $118 | 93% |
| The Health Plan Mcr Adv | $118 | 93% |
| Valor Hp Mcr-All Plans | $118 | 93% |
| Magnipower-All Plans | $153 | 121% |
| Cerco-All Plans | $159 - $176 | 126% |
| Caresource Exch - All Other Plans | $168 | 133% |
| Aultcare Wayne County | $170 - $189 | 135% |
| Aultcare/Primetime Exch | $170 - $189 | 135% |
| Rayco-All Plans | $170 - $189 | 135% |
| Christian Health Ministries-All Plans | $181 - $201 | 143% |
| Cigna | $181 - $201 | 143% |
| Health Ohio Network Employer | $181 - $201 | 143% |
| Wayne County-All Plans | $181 - $201 | 143% |
| Healthsmart Accel | $188 - $209 | 149% |
| Summacare Preferred Choice | $188 - $209 | 149% |
| Healthsmart Complete Ppo-All Other Plans | $190 | 150% |
| Health Ohio Network Ppo-All Other Plans | $192 - $214 | 152% |
| Ohio Health Choice Supp | $192 - $214 | 152% |
| Ohio Health Group Hlthy - All Other Plans | $192 - $214 | 152% |
| Med Mutual Of Oh Exchange | $195 - $216 | 154% |
| Med Mutual Of Oh Supermed | $195 - $216 | 154% |
| Med Mutual Of Oh Trad-All Other Plans | $195 - $216 | 154% |
| Health Plan Of Upper Ohio-All Plans | $200 - $222 | 158% |
| Molina Marketplace - All Other Plans | $200 | 158% |
| The Health Plan Comm - All Other Plans | $200 - $222 | 158% |
| Ohio Health Group Pref | $202 - $224 | 160% |
| Aultcare/Primetime-All Other Plans | $204 - $226 | 162% |
| Healthsmart Ppo | $206 - $229 | 163% |
| Summacare-All Other Plans | $211 - $234 | 167% |
| Ohio Health Choice-All Other Plans | $213 - $236 | 169% |
| Healthsmart Hpo | $215 - $239 | 170% |
| Osu-All Plans | $215 - $239 | 170% |
| Central Benefits-All Plans | $217 - $242 | 172% |
| First Health-All Plans | $217 - $242 | 172% |
| Flora-All Plans | $217 - $242 | 172% |
| Beech Street-All Plans | $220 - $244 | 174% |
| Phcs-All Plans | $220 - $244 | 174% |
| Clarity Health - All Plans | $229 | 181% |