CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Hillcrest Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $261
  • Cash Discount Price: $425
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Hillcrest Hospital is $261. 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 1.66x the Medicare baseline. Located in 6780 Mayfield Road, Mayfield Heights, OH.
Cash / Self-Pay
$425

Average discount available for prompt cash payment at this facility.

Insurance Median
$261

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: $261 (166%)
Cash: $425 (271% of Medicare)
Ins. Median: $261 (166% 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
UnitedHealthcare $44 - $405 28%
Paramount $48 31%
Blue Cross Blue Shield $49 - $419 31%
Buckeye $49 31%
Caresource $49 31%
Molina $49 31%
United $49 - $263 31%
Amerihealth $51 32%
Oscar $197 - $251 125%
Summacare $199 - $243 127%
Aetna $208 - $654 133%
Devoted Health $208 133%
Humana $208 - $556 133%
Mmo $208 - $386 133%
Upmc $208 - $392 133%
Valor $208 133%
The Health Plan $211 - $392 134%
Cigna $214 - $229 136%
Perennial Health $225 143%
Cc Ehp $261 - $265 166%
Aultcare $275 175%
Amish Community Aid Plan $294 - $327 187%
Ohcp $318 203%
Omas $327 208%
Ohio Healthy $353 225%
Healthsmart $360 229%
Php $392 250%
Gms $458 292%
Medical Benefit Corp $458 292%
Quality Care Partners $458 292%
Consociate Health $490 312%
Frontpath $589 375%
Managed Care Services $589 375%
Multiplan $589 375%
Tertiary Care Network $589 375%
Three Rivers $589 375%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6780 Mayfield Road, Mayfield Heights, OH 44124
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals