CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Coshocton Regional Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $102
Cash Discount Price: $101
vs. Medicare Baseline: 0.65x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Coshocton Regional Medical Center is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $101. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.65x the Medicare baseline. Located in 1460 Orange Street, Coshocton, OH.

Cash / Self-Pay

$101

Average discount available for prompt cash payment at this facility.

Insurance Median

$102

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: $101 (64%)

Insurance Median: $102 (65%)

Cash: $101 (64% of Medicare)

Ins. Median: $102 (65% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 Community Health Plan	$68 - $126	43%
Care Source	$68 - $146	43%
Medicaid / KanCare	$68	43%
Standard Eapg Logic	$68	43%
Blue Cross Blue Shield	$70 - $101	45%
Molina	$70 - $146	45%
Amerihealth Caritas	$72	46%
Paramount	$72	46%
Quality Care Partner	$72	46%
UnitedHealthcare	$72 - $101	46%
Medicare (plans)	$101	64%
The Health Plan	$101	64%
Tricare	$101	64%
Med Mutual Of Oh	$103	66%
Devoted Health	$106	68%
Valor Health Plan	$108	69%
Perennial Advantage	$111	71%
Employer Direct Healthcare	$141	90%
Americas Choice Provider Network	$151	96%
Corvel	$151	96%
Healthsmart	$151	96%
Multiplan	$151	96%
Provider Network Of America	$151	96%
Provider Select	$151	96%
Three Rivers	$151	96%
Workers Compensation	$151	96%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $101.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Coshocton Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.