CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Fairfield Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $195
  • Cash Discount Price: $170
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Fairfield Medical Center is $195. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $170. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.24x the Medicare baseline. Located in 401 North Ewing Street, Lancaster, OH.
Cash / Self-Pay
$170

Average discount available for prompt cash payment at this facility.

Insurance Median
$195

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: $170 (108%)
Insurance Median: $195 (124%)
Cash: $170 (108% of Medicare)
Ins. Median: $195 (124% 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
Medicaid / KanCare $48 31%
Molina $48 - $167 31%
UnitedHealthcare $48 - $308 31%
Blue Cross Blue Shield $49 - $26,250 31%
Caresource $49 - $131 31%
Amerihealth Caritas Ohio $50 32%
Buckeye Community Health $50 - $157 32%
Humana $50 - $358 32%
Aetna $99 - $247 63%
Medical Mutual $99 - $33,500 63%
Medicare (plans) $99 63%
Medigold $101 64%
The Health Plan $101 - $261 64%
Va Ccn $101 64%
Valor Health Plan $101 64%
Oscar $131 - $187 83%
Bwc $140 89%
Allied Benefit Systems $262 167%
Meritain Health $262 167%
Quality Care Partners/Ohio Ppo Connect $271 173%
The Ohio State Health Plan $290 185%
Cigna $311 198%
Ohio Healthy $354 226%
Multiplan $358 228%
Miscellaneous Plans $377 240%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 North Ewing Street, Lancaster, OH 43130
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals