CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Ohio Valley Surgical Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $3,657
  • Cash Discount Price: $546
  • vs. Medicare Baseline: 23.30x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Ohio Valley Surgical Hospital is $3,657. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $546. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 23.30x the Medicare baseline. Located in 100 West Main Street, Springfield, OH.
Cash / Self-Pay
$546

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,657

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: $546 (348%)
Insurance Median: $3,657 (2330%)
Cash: $546 (348% of Medicare)
Ins. Median: $3,657 (2330% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2330% of the Medicare baseline (a markup of 2230%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $100 - $40,293 64%
Medicaid / KanCare $100 - $17,827 64%
Devoted Health $119 - $13,707 76%
Aarp $143 - $11,885 91%
Aarp Supplemental $143 - $11,885 91%
Aetna $143 - $20,896 91%
American Continental Insurance $143 - $11,885 91%
American Continental Life $143 - $11,885 91%
American Republic $143 - $11,885 91%
American Retirement $143 - $11,885 91%
Aultcare Primetime Health Plan $143 - $11,885 91%
Bankers Fidelity $143 - $11,885 91%
Bankers Life And Casualty $143 - $11,885 91%
Central States $143 - $11,885 91%
Champus $143 - $11,885 91%
Cigna $143 - $18,817 91%
Communicare Advantage $143 - $11,885 91%
Everest $143 - $11,885 91%
Gateway Health Plan $143 - $11,885 91%
Humana $143 - $11,919 91%
Medicare (plans) $143 - $12,264 91%
Medigold $143 - $11,885 91%
Mmoh $143 - $11,885 91%
Molina $143 - $11,885 91%
Molina Dual Mcr $143 - $11,885 91%
Molina Marketplace $143 - $11,885 91%
Molina Dual Mcr $143 - $11,885 91%
Molina Mcr $143 - $11,885 91%
Molina Mcr Mcd $143 - $11,885 91%
Molina Mcr+Mcd $143 - $11,885 91%
Patient No Pay $143 - $11,885 91%
Prosperity Supplement $143 - $11,885 91%
UnitedHealthcare $143 - $17,571 91%
Wellcare By Allwell $143 - $11,885 91%
Wraparound Pl Supp $143 - $11,885 91%
The Health Plan $150 - $12,479 96%
Employer Direct $165 - $15,703 105%
Geha $179 - $20,896 114%
Genworth $179 - $20,896 114%
Mail Handlers $179 - $20,896 114%
Meritain $179 - $20,896 114%
Meritain Heatlh $179 - $20,896 114%
Mhbp $179 - $20,896 114%
Ngs Coresource $179 - $20,896 114%
Nippon Life $179 - $20,896 114%
Pacific Source $179 - $20,896 114%
Personify Health $179 - $20,896 114%
Golden Rule $185 - $17,571 118%
Medica $185 - $17,571 118%
Oxford $185 - $17,571 118%
Shl $185 - $17,571 118%
Surest $185 - $17,571 118%
Ushealth $185 - $17,571 118%
Self Pay Imaging $192 - $11,885 122%
Caresource $215 - $17,827 137%
Caresourse $215 - $17,827 137%
Mmo Cin. Hmo $419 - $573 267%
Mmoh (Supermed) $419 - $423 267%
Luminare Health $819 522%
Medben $819 522%
Ohio Health $819 522%
Preferred Health $819 522%
Amerihealth Caritas Of Ohio $3,657 2330%
Buckeye Community Health Plan $4,022 2562%
Molina Mcd $4,084 2602%
Healthgram $18,817 11987%
Nalc $18,817 11987%
Samba $18,817 11987%
Sbma $18,817 11987%
Unified Group $18,817 11987%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 West Main Street, Springfield, OH 45502
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals