CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Ohiohealth Morrow County Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $160
  • Cash Discount Price: $195
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Screening 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 $195. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.27x the Medicare baseline. Located in 651 West Marion Road, Mount Gilead, OH.
Cash / Self-Pay
$195

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
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $195 (154%)
Insurance Median: $160 (127%)
Cash: $195 (154% of Medicare)
Ins. Median: $160 (127% 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
Blue Cross Blue Shield $64 - $267 51%
Medicaid / KanCare $64 - $65 51%
UnitedHealthcare $64 - $283 51%
Amerihealth Caritas - All Plans $66 52%
Humana $66 - $322 52%
Medicare (plans) $95 - $130 75%
Aetna $96 - $297 76%
Molina Exchange - All Other Plans $105 83%
Caresource Marketplace - All Other Plans $118 - $160 93%
Medical Mutual Of Ohio Marketplace $192 - $259 152%
Ohiohealthy Network - All Other Plans $192 - $259 152%
Ohiohealthy Preferred $192 - $259 152%
Medical Mutual Of Ohio Comm - All Other Plans $207 - $280 164%
Medical Mutual Of Ohio - Admin Serv $217 - $294 172%
Phcs - All Plans $235 - $318 186%
Cigna $240 - $325 190%
Multiplan - All Plans $243 - $328 192%
Healthstar Comm - All Plans $245 - $332 194%
Beech Street - All Plans $248 - $335 196%

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