CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: University Hospitals Conneaut Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $235
  • Cash Discount Price: $315
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at University Hospitals Conneaut Medical Center is $235. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $315. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.86x the Medicare baseline. Located in 158 West Main Road, Conneaut, OH.
Cash / Self-Pay
$315

Average discount available for prompt cash payment at this facility.

Insurance Median
$235

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: $315 (250%)
Insurance Median: $235 (186%)
Cash: $315 (250% of Medicare)
Ins. Median: $235 (186% 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
University Health Employee Plan (Contigo) $129 102%
Aetna $130 - $232 103%
Blue Cross Blue Shield $130 - $399 103%
Cigna $130 - $237 103%
Devoted $130 103%
Humana $130 103%
Medical Mutual Of Ohio $130 - $396 103%
Molina $130 103%
Primetime Health Plan $130 103%
Summacare $130 - $214 103%
The Health Plan $130 - $277 103%
UnitedHealthcare $130 - $248 103%
Wellcare By Allwell $130 103%
Paramount $134 106%
Perennial Advantage Of Ohio $137 109%
Valor Health Plans $137 109%
Amish Aid Community Plan $140 - $193 111%
Amish Church Fund And Workers Aid Plan $140 - $193 111%
Buckeye Plain Ministries $140 - $193 111%
Jp Farley $140 111%
Aultcare $154 122%
Clarity $202 160%
Christian Healthcare Ministries $210 166%
Immergrun $210 166%
Sunrise Plan Communities $210 166%
Ambetter / Centene $234 185%
Caresource $234 185%
Healthsmart $273 216%
Ohio Health Choice $273 - $378 216%
Medical Mutual Traditional/Health Ohio $294 233%
Beech Street $336 - $378 266%
Ohio Preferred Network $336 - $378 266%
First Health $349 276%
Century Health Network $357 283%
Private Healthcare System $361 286%
Configurenet $378 299%
Fortified Provider Network $378 299%
Multiplan $378 299%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 158 West Main Road, Conneaut, OH 44030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals