CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Pomerene Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $101
  • Cash Discount Price: $209
  • vs. Medicare Baseline: 0.64x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Pomerene Hospital is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $209. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.64x the Medicare baseline. Located in 981 Wooster Road, Millersburg, OH.
Cash / Self-Pay
$209

Average discount available for prompt cash payment at this facility.

Insurance Median
$101

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: $209 (133%)
Insurance Median: $101 (64%)
Cash: $209 (133% of Medicare)
Ins. Median: $101 (64% 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
Aultcare Ma $99 63%
Blue Cross Blue Shield $99 - $218 63%
Humana $99 63%
Medical Mutual Of Ohio Mcr Adv $99 63%
Medicare (plans) $99 - $144 63%
Molina Healthcare Of Ohio Mcr Adv $99 63%
Summacare Health Plan Ma $99 63%
Valor Health Plan $99 63%
Aetna $101 - $230 64%
UnitedHealthcare $101 - $230 64%
Aultcare $227 145%
Medical Mutual Of Ohio $230 147%
Cigna $231 147%
Summacare Health Plan $243 155%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 981 Wooster Road, Millersburg, OH 44654
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals