CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Cleveland Clinic

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $252
  • Cash Discount Price: $425
  • vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Cleveland Clinic is $252. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $425. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.61x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$425

Average discount available for prompt cash payment at this facility.

Insurance Median
$252

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: $425 (271%)
Insurance Median: $252 (161%)
Cash: $425 (271% of Medicare)
Ins. Median: $252 (161% 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
Summacare $29 - $337 18%
Aetna $44 - $1,015 28%
Blue Cross Blue Shield $44 - $555 28%
Devoted Health $44 - $208 28%
Humana $44 - $556 28%
The Health Plan $44 - $558 28%
United $44 - $379 28%
UnitedHealthcare $44 - $650 28%
Upmc $44 - $609 28%
Valor $44 - $208 28%
Cigna $46 - $812 29%
Communicare $46 - $218 29%
Perennial Health $48 - $225 31%
Pphp $48 - $157 31%
Zing Health $49 - $196 31%
Caresource $54 - $86 34%
Paramount $56 - $85 36%
Buckeye $57 - $86 36%
Molina $57 - $90 36%
United Bh $60 38%
Cc Ehp $84 - $408 54%
Amerihealth $90 57%
Oscar $96 - $271 61%
Ohcp $140 - $395 89%
Ohio Healthy $144 - $458 92%
Mmo $147 - $710 94%
Aultcare $155 - $436 99%
Amish Community Aid Plan $162 - $457 103%
Omas $180 - $508 115%
Healthsmart $199 - $558 127%
Phphi $217 - $609 138%
Clarity Health $235 - $660 150%
Gms $253 - $710 161%
Quality Care Partners $253 - $710 161%
Consociate Health $271 - $761 173%
Multiplan $325 - $914 207%
Three Rivers $325 - $914 207%
Usa Managed Care $325 - $914 207%
Php $392 250%
Medical Benefit Corp $458 292%
Parkview Health Plan $458 292%
Community Health Alliance $523 333%
Frontpath $589 375%
Managed Care Services $589 375%
Tertiary Care Network $589 375%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9500 Euclid Avenue, Cleveland, OH 44195
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals