CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Fostoria Community Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $391
Cash Discount Price: $479
vs. Medicare Baseline: 2.49x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Fostoria Community Hospital is $391. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $479. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.49x the Medicare baseline. Located in 501 Van Buren Street, Fostoria, OH.

Cash / Self-Pay

$479

Average discount available for prompt cash payment at this facility.

Insurance Median

$391

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: $479 (305%)

Insurance Median: $391 (249%)

Cash: $479 (305% of Medicare)

Ins. Median: $391 (249% 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 249% of the Medicare baseline (a markup of 149%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Meridian Health Plan Of Mi	$54	34%
Aetna	$73 - $494	47%
Blue Cross Blue Shield	$75 - $646	48%
Dayton Area Health Plan Dba Caresource	$76 - $306	48%
UnitedHealthcare	$76 - $441	48%
Buckeye Community Health Plan	$77 - $164	49%
Amerihealth	$80	51%
Paramount Health Care	$140 - $391	89%
Health Alliance Plan	$144 - $553	92%
Health Value Management	$144 - $160	92%
Veterans Affairs	$162	103%
Buckeye Community Health Plan Inc	$164 - $268	104%
Medical Mutual Of Ohio	$416 - $443	265%
Frontpath Health Coalition	$425	271%
Ohio Health Choice	$479	305%
Ohio Ppo Connect	$479 - $553	305%
Health Ohio Network	$582	371%
Connecticut General Life Insurance Company	$588	375%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $479.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fostoria Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.