CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: East Liverpool City Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $83
  • Cash Discount Price: $83
  • vs. Medicare Baseline: 0.66x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at East Liverpool City Hospital is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.66x the Medicare baseline. Located in 425 West 5Th Street, East Liverpool, OH.
Cash / Self-Pay
$83

Average discount available for prompt cash payment at this facility.

Insurance Median
$83

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: $83 (66%)
Insurance Median: $83 (66%)
Cash: $83 (66% of Medicare)
Ins. Median: $83 (66% 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

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 $59 - $70 47%
Buckeye Community Health Plan $70 - $133 55%
Molina $70 - $121 55%
Standard Eapg Logic $70 55%
Care Source $71 - $121 56%
Blue Cross Blue Shield $72 - $83 57%
Paramount $72 57%
Amerihealth Caritas $73 58%
UnitedHealthcare $73 - $83 58%
Health America $83 66%
Medical Mutual Of Oh $83 66%
Medicare (plans) $83 66%
Tricare $83 66%
Devoted Health $87 69%
Communicare $89 70%
Valor Health Plan $89 70%
Perennial $92 73%
Naphcare $100 79%
Employer Direct Healthcare $117 93%
Three Rivers $121 96%
Provider Select $123 97%
Worker Compensation $124 98%
Multiplan (Fka Private Healthcare Systems) $125 99%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 425 West 5Th Street, East Liverpool, OH 43920
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals