CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Arthur G James Cancer Hospital and Research Institute

Billing Code: 77066 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$199

about 1.3× the $157 Medicare rate · typically $97–$552

modeled estimate · not a bill or quote

What this hospital charges insurers

$115

Below the fair price — a good deal

about $84 under the fair price · 0.7× Medicare

Medicare pays $157 Fair price $199 This hospital $115 Hospital's list price $724

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $33 Priciest $115

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Diagnostic mammogram (both breasts) is about $199 (about 1.3× the $157 Medicare rate). Arthur G James Cancer Hospital and Research Institute charges insurers about $115 — below the fair price — a good deal. Located in Columbus, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$202 - $659	129%
Blue Cross Blue Shieldmajor	$266 - $686	169%
Aetnamajor	$128 - $5,388	82%
Cignamajor	$525 - $543	334%
Humanamajor	$162 - $5,521	103%
AmeriHealth	$269 - $390	171%
CareSource	$239 - $357	152%
Molina	$239 - $5,388	152%
+ 10 smaller / regional plans	$102 - $5,413

Government programs also on file: Medicare, Medicaid.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77066.

Insurance Before you use insurance

Call your insurance company to confirm Arthur G James Cancer Hospital and Research Institute is in-network.
Ask your insurer whether prior approval is required for CPT code 77066.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Arthur G James Cancer Hospital and Research Institute

Compare: Diagnostic mammogram (both breasts) at other OH hospitals

Insurance negotiated median for the same procedure, sorted lowest first.