CMS Price Transparency Data
Diagnostic mammogram (both breasts)
Facility: Mount Carmel Dublin
Billing Code: 77066 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77066
- Insurance Median: $199
- Cash Discount Price: $277
- vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Mount Carmel Dublin is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $277. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.27x the Medicare baseline. Located in 4105 Emerald Pkwy, Dublin, OH.
Cash / Self-Pay
$277
Average discount available for prompt cash payment at this facility.
Insurance Median
$199
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: $277 (176%)
Insurance Median: $199 (127%)
Cash: $277 (176% of Medicare)
Ins. Median: $199 (127% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicare (plans) | $89 - $106 | 57% |
| Aetna | $99 - $213 | 63% |
| Blue Cross Blue Shield | $99 - $426 | 63% |
| UnitedHealthcare | $101 - $207 | 64% |
| The Health Plan | $103 | 66% |
| Medical Mutual | $184 - $266 | 117% |
| Geha | $191 - $207 | 122% |
| Gravie Admin Services | $191 | 122% |
| Healthez | $191 | 122% |
| Meritain | $191 | 122% |
| Webtpa | $191 | 122% |
| Enterprise Group Planning | $195 | 124% |
| Access Health | $199 | 127% |
| Acclaim | $199 | 127% |
| Administrative Concepts | $199 | 127% |
| Allegeant | $199 | 127% |
| Allied Benefit Systems | $199 | 127% |
| American Family | $199 | 127% |
| American Healthcare Alliance | $199 | 127% |
| American National | $199 | 127% |
| American Republic | $199 | 127% |
| Amerihealth | $199 | 127% |
| Aultcare | $199 | 127% |
| Automated Benefit Services | $199 | 127% |
| Auxiant | $199 | 127% |
| Benefit Administrative Systems,Llc | $199 | 127% |
| Boon Chapman | $199 | 127% |
| Cam Administrative Services | $199 | 127% |
| Christian Brother Services | $199 | 127% |
| Christian Brothers Holy Cross | $199 | 127% |
| Claimchoice Adminstrators | $199 | 127% |
| Comprehensive Benefits | $199 | 127% |
| Continental Life Insurance | $199 | 127% |
| Coventry | $199 | 127% |
| Custom Benefit Administrators | $199 | 127% |
| Cypress Benefit Administrators | $199 | 127% |
| Employee Benefit Concepts | $199 | 127% |
| Employee Benefit Management | $199 | 127% |
| Forest County Potawatomi | $199 | 127% |
| Freedom Life Insurance Company | $199 | 127% |
| Group Administrators | $199 | 127% |
| Group Marketing Services | $199 | 127% |
| Group Pension Administrators | $199 | 127% |
| Guardian | $199 | 127% |
| Health America | $199 | 127% |
| Health Choices | $199 | 127% |
| Healthcare Management Admin | $199 | 127% |
| Insight | $199 | 127% |
| Intercare | $199 | 127% |
| Jfp Benefit Management | $199 | 127% |
| Jp Farley Corporation | $199 | 127% |
| Key Benefit Administrator | $199 | 127% |
| Liberty Union Life Assurance Co | $199 | 127% |
| Lucent Health | $199 | 127% |
| Luminare Health | $199 | 127% |
| Magnacare | $199 | 127% |
| Medcost | $199 | 127% |
| Mutual Health Services | $199 | 127% |
| Mutual Of Omaha | $199 | 127% |
| Ncas | $199 | 127% |
| Nippon Life Ins | $199 | 127% |
| Nova | $199 | 127% |
| Painters Union Insurance Fund | $199 | 127% |
| Physicians Mutual | $199 | 127% |
| Plumbers Local 98 Insurance Fund | $199 | 127% |
| Prairie States | $199 | 127% |
| Preferred One | $199 | 127% |
| Primary Physician Care | $199 | 127% |
| Professional Benefit Administrators | $199 | 127% |
| Secureone Preferred United Plans | $199 | 127% |
| Siho Insurance Services | $199 | 127% |
| Sisco Benefits | $199 | 127% |
| The Loomis Company | $199 | 127% |
| Trustmark Small Business Benefits | $199 | 127% |
| U Of M Health Plan | $199 | 127% |
| Unicare | $199 | 127% |
| Unified Group Services | $199 | 127% |
| Us Health And Life | $199 | 127% |
| Valenz | $199 | 127% |
| Varipro | $199 | 127% |
| Wps | $199 | 127% |
| Custom Design Benefits | $211 | 134% |
| Rural Carrier Health Benefit Plan | $213 | 136% |
| Humana | $218 - $426 | 139% |
| First Health | $224 | 143% |
| Paramount Hmo | $224 | 143% |
| Quality Care Partners | $228 | 145% |
| American Postal Workers Secondary | $239 | 152% |
| Cigna | $239 | 152% |
| Health Partners | $239 | 152% |
| Healthgram | $239 | 152% |
| Mvp | $239 | 152% |
| Priority Health | $239 | 152% |
| Medben | $256 - $320 | 163% |
| Oscar | $256 | 163% |
| Consociate | $260 | 166% |
| Health Ohio Network | $260 | 166% |
| Western & Southern Financial Group | $266 | 169% |
| Healthlink Inc | $320 | 204% |
| Medical Benefits Mutual | $320 | 204% |
| Ohio Health Choice | $320 | 204% |
| Ohio Ppo Connect | $320 | 204% |
| Medi Share | $340 | 217% |
| Multiplan | $340 | 217% |
| Phcs | $340 | 217% |
| Philadelphia American Life Insurance | $340 | 217% |
| Ameriben | $341 | 217% |
| Luminare Health (Detroit) | $341 | 217% |
| Ohiohealthy | $341 | 217% |
| Osu Not Independent Choice | $341 | 217% |
| Twin Valley Psychiatric | $341 | 217% |
| Health Smart | $362 | 231% |
| Medicaid / KanCare | $426 | 271% |