CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Memorial Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $183
  • Cash Discount Price: $277
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Memorial Hospital is $183. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $277. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.45x the Medicare baseline. Located in 715 South Taft Avenue, Fremont, OH.
Cash / Self-Pay
$277

Average discount available for prompt cash payment at this facility.

Insurance Median
$183

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: $277 (219%)
Insurance Median: $183 (145%)
Cash: $277 (219% of Medicare)
Ins. Median: $183 (145% 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
Medical Mutual Of Ohio $45 - $375 36%
Meridian Health Plan Of Mi $45 - $398 36%
Aetna $48 - $613 38%
Buckeye Community Health Plan $56 - $613 44%
Caresource $56 - $613 44%
Molina Healthcare Of Ohio $56 - $613 44%
UnitedHealthcare $56 - $613 44%
Blue Cross Blue Shield $57 - $613 45%
Amerihealth $61 - $335 48%
Summacare $78 - $317 62%
Paramount Healthcare Inc $80 - $335 63%
Humana $82 - $398 65%
Health Alliance Plan $83 - $613 66%
Frontpath $84 - $260 67%
Cigna $132 - $297 105%
Health Ohio Network $160 - $429 127%
Multiplan $251 - $383 199%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 715 South Taft Avenue, Fremont, OH 43420
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals