CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: University Hospitals Avon Rehabilitation Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $219
  • Cash Discount Price: $219
  • vs. Medicare Baseline: 1.73x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at University Hospitals Avon Rehabilitation Hospital is $219. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $219. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.73x the Medicare baseline. Located in 37900 Chester Rd, Avon, OH.
Cash / Self-Pay
$219

Average discount available for prompt cash payment at this facility.

Insurance Median
$219

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: $219 (173%)
Insurance Median: $219 (173%)
Cash: $219 (173% of Medicare)
Ins. Median: $219 (173% 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
Uh Employees (Administered By Meritian) $85 67%
Blue Cross Blue Shield $126 - $219 100%
Healthsmart (Formerly Emerald) $143 113%
Ohio Health Choice - Preferred Choice Plus $143 113%
Clarity Health (Enterprise Group Planning Will Be Listed On Id Card As Well) $162 128%
Occunet Fka Health Ohio Network $162 128%
Paramount $165 - $219 131%
Ohio Preferred Network $176 139%
First Health $187 148%
Beechstreet $197 156%
Fortified $197 156%
Multiplan $197 156%
Ohio Health Choice $197 156%
Phcs $197 156%
Aetna $219 173%
Ambetter / Centene $219 173%
Amerihealth Cartias $219 173%
Antidote Healthe Care Of Ohio $219 173%
Aultcare $219 173%
Buckeye $219 173%
Caresource $219 173%
Caresource (Marketplace) $219 173%
Cigna $219 173%
Devoted $219 173%
Health Plan $219 173%
Humana $219 173%
Jp Farley (Select Employers) $219 173%
Medical Mutual $219 173%
Medical Mutual (Supermed, Trad, Medflex) $219 173%
Medical Mutual (Marketplace Plan) $219 173%
Molina $219 173%
Summacare $219 173%
United $219 173%
UnitedHealthcare $219 173%
Wellcare $219 173%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 37900 Chester Rd, Avon, OH 44011
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL