CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Cleveland Clinic

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $192
  • Cash Discount Price: $367
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Cleveland Clinic is $192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $367. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.52x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$367

Average discount available for prompt cash payment at this facility.

Insurance Median
$192

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: $367 (291%)
Insurance Median: $192 (152%)
Cash: $367 (291% of Medicare)
Ins. Median: $192 (152% 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
Summacare $22 - $271 17%
Aetna $34 - $838 27%
Blue Cross Blue Shield $34 - $479 27%
Devoted Health $34 - $169 27%
Humana $34 - $479 27%
The Health Plan $34 - $461 27%
United $34 - $305 27%
UnitedHealthcare $34 - $536 27%
Upmc $34 - $503 27%
Valor $34 - $169 27%
Cigna $35 - $670 28%
Communicare $36 - $178 29%
Perennial Health $37 - $183 29%
Pphp $37 - $127 29%
Zing Health $38 - $169 30%
Mmo $47 - $587 37%
Caresource $54 - $64 43%
Paramount $56 - $63 44%
Buckeye $57 - $64 45%
Molina $57 - $67 45%
United Bh $60 48%
Cc Ehp $65 - $352 51%
Amerihealth $67 53%
Oscar $73 - $224 58%
Ohcp $107 - $326 85%
Ohio Healthy $110 - $395 87%
Aultcare $118 - $360 93%
Amish Community Aid Plan $123 - $377 97%
Omas $137 - $419 109%
Healthsmart $151 - $461 120%
Phphi $164 - $503 130%
Clarity Health $178 - $545 141%
Gms $192 - $587 152%
Quality Care Partners $192 - $587 152%
Consociate Health $206 - $628 163%
Multiplan $247 - $754 196%
Three Rivers $247 - $754 196%
Usa Managed Care $247 - $754 196%
Php $338 268%
Medical Benefit Corp $395 313%
Parkview Health Plan $395 313%
Community Health Alliance $451 357%
Frontpath $508 402%
Managed Care Services $508 402%
Tertiary Care Network $508 402%

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