CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Uh St John Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $403
  • Cash Discount Price: $630
  • vs. Medicare Baseline: 2.57x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Uh St John Medical Center is $403. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $630. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.57x the Medicare baseline. Located in 29000 Center Ridge Road, Westlake, OH.
Cash / Self-Pay
$630

Average discount available for prompt cash payment at this facility.

Insurance Median
$403

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: $630 (401%)
Insurance Median: $403 (257%)
Cash: $630 (401% of Medicare)
Ins. Median: $403 (257% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 257% of the Medicare baseline (a markup of 157%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $99 - $221 63%
Blue Cross Blue Shield $99 - $474 63%
Cigna $99 - $470 63%
Devoted Health $99 63%
Humana $99 63%
Molina $99 63%
Primetime Health Plan $99 63%
Summacare $99 - $428 63%
The Health Plan $99 - $554 63%
UnitedHealthcare $99 - $253 63%
Wellcare By Allwell $99 63%
Paramount $102 65%
Perennial Advantage Of Ohio $104 66%
Valor Health Plans $104 66%
University Health Employee Plan (Contigo) $129 82%
Jp Farley $140 89%
Aultcare $154 98%
Ambetter / Centene $178 113%
Caresource $178 113%
Medical Mutual Of Ohio $228 - $355 145%
Amish Aid Community Plan $386 246%
Amish Church Fund And Workers Aid Plan $386 246%
Buckeye Plain Ministries $386 246%
Clarity $403 257%
Christian Healthcare Ministries $420 268%
Immergrun $420 268%
Sunrise Plan Communities $420 268%
Healthsmart $546 348%
Ohio Health Choice $546 - $756 348%
Medical Mutual Traditional/Health Ohio $588 375%
Beech Street $672 - $756 428%
Ohio Preferred Network $672 - $756 428%
First Health $697 444%
Century Health Network $714 455%
Private Healthcare System $722 460%
Configurenet $756 482%
Fortified Provider Network $756 482%
Multiplan $756 482%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 29000 Center Ridge Road, Westlake, OH 44145
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals