CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Ohiohealth Morrow County Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $160
  • Cash Discount Price: $277
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Ohiohealth Morrow County Hospital is $160. 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 1.02x the Medicare baseline. Located in 651 West Marion Road, Mount Gilead, OH.
Cash / Self-Pay
$277

Average discount available for prompt cash payment at this facility.

Insurance Median
$160

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: $160 (102%)
Cash: $277 (176% of Medicare)
Ins. Median: $160 (102% 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
Blue Cross Blue Shield $64 - $328 41%
Medicaid / KanCare $64 - $65 41%
UnitedHealthcare $64 - $348 41%
Amerihealth Caritas - All Plans $66 42%
Humana $66 - $396 42%
Molina Exchange - All Other Plans $105 67%
Medicare (plans) $157 - $161 100%
Aetna $160 - $366 102%
Caresource Marketplace - All Other Plans $197 125%
Medical Mutual Of Ohio Marketplace $319 203%
Ohiohealthy Network - All Other Plans $319 203%
Ohiohealthy Preferred $319 203%
Medical Mutual Of Ohio Comm - All Other Plans $345 220%
Medical Mutual Of Ohio - Admin Serv $362 231%
Phcs - All Plans $391 249%
Cigna $400 255%
Multiplan - All Plans $404 257%
Healthstar Comm - All Plans $408 260%
Beech Street - All Plans $413 263%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 West Marion Road, Mount Gilead, OH 43338
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals