CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Southwest General Health Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $293
  • Cash Discount Price: $593
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Southwest General Health Center is $293. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $593. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.87x the Medicare baseline. Located in 18697 Bagley Road, Middleburg Heights, OH.
Cash / Self-Pay
$593

Average discount available for prompt cash payment at this facility.

Insurance Median
$293

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: $593 (378%)
Insurance Median: $293 (187%)
Cash: $593 (378% of Medicare)
Ins. Median: $293 (187% 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
Medical Mutual $89 - $101 57%
Medical Mutual-Ohio $89 57%
Amerihealth Caritas $90 57%
Blue Cross Blue Shield $90 57%
Buckeye $90 - $281 57%
Caresource $90 57%
Humana $90 - $308 57%
Molina $90 - $281 57%
UnitedHealthcare $90 - $427 57%
Healthsmart $253 161%
Health Design Plus $293 187%
Clarity Health $316 201%
Healthspan $316 201%
Healthsmart Preferred $356 227%
Ohio Health Choice Plus $383 244%
Summacare $427 272%
Aetna $428 273%
Cigna $433 276%
Coventry $546 348%
First Health $546 348%
Ohio Health Choice $611 389%
Private Healthare Systems $633 403%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 18697 Bagley Road, Middleburg Heights, OH 44130
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals