CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Uh Cleveland Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $242
  • Cash Discount Price: $363
  • vs. Medicare Baseline: 1.92x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Uh Cleveland Medical Center is $242. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $363. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.92x the Medicare baseline. Located in 11100 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$363

Average discount available for prompt cash payment at this facility.

Insurance Median
$242

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: $363 (288%)
Insurance Median: $242 (192%)
Cash: $363 (288% of Medicare)
Ins. Median: $242 (192% 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
Aetna $82 - $381 65%
Blue Cross Blue Shield $82 - $288 65%
Cigna $82 - $271 65%
Devoted Health $82 65%
Humana $82 65%
Medical Mutual Of Ohio $82 - $219 65%
Molina $82 65%
Primetime Health Plan $82 65%
Summacare $82 - $329 65%
The Health Plan $82 - $315 65%
UnitedHealthcare $82 - $254 65%
Wellcare By Allwell $82 65%
Paramount $84 67%
Perennial Advantage Of Ohio $86 68%
Valor Health Plans $86 68%
University Health Employee Plan (Contigo) $129 102%
Jp Farley $140 111%
Ambetter / Centene $147 116%
Caresource $147 116%
Aultcare $154 122%
Amish Aid Community Plan $242 192%
Amish Church Fund And Workers Aid Plan $242 192%
Buckeye Plain Ministries $242 192%
Christian Healthcare Ministries $242 192%
Immergrun $242 192%
Sunrise Plain Communities $242 192%
Clarity $271 215%
Enterprise Group Planning $271 215%
Health Ohio Network $281 223%
Healthsmart $315 250%
Ohio Health Choice $315 - $436 250%
Medical Mutual Traditional/Health Ohio $339 269%
Beech Street $387 - $436 307%
Ohio Preferred Network $387 - $436 307%
First Health $402 318%
Century Health Network $411 326%
Private Healthcare System $416 330%
Configurenet $436 345%
Fortified Provider Network $436 345%
Multiplan $436 345%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals