CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Mercy Health Rehabilitation Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $224
  • Cash Discount Price: $224
  • vs. Medicare Baseline: 1.77x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Mercy Health Rehabilitation Hospital is $224. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $224. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.77x the Medicare baseline. Located in 3180 Belmont Ave, Youngstown, OH.
Cash / Self-Pay
$224

Average discount available for prompt cash payment at this facility.

Insurance Median
$224

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: $224 (177%)
Insurance Median: $224 (177%)
Cash: $224 (177% of Medicare)
Ins. Median: $224 (177% 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
Medical Mutual Nas $123 97%
Aultcare $152 120%
Multiplan $188 149%
Aetna $224 177%
Ambetter / Centene $224 177%
Blue Cross Blue Shield $224 177%
Caresource Exchange $224 177%
Cigna $224 177%
Devoted $224 177%
Highmark Ppo Commercial $224 177%
Highmark Ppo Exchange $224 177%
Humana $224 177%
Medicaid / KanCare $224 177%
Medical Mutual Exchange $224 177%
Medical Mutual Medflex $224 177%
Medical Mutual New Biz $224 177%
Medical Mutual Supermed Commercial $224 177%
Medical Mutual Traditional Commercial $224 177%
Medicare (plans) $224 177%
Molina Exchange $224 177%
UnitedHealthcare $224 177%
Upmc $224 177%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3180 Belmont Ave, Youngstown, OH 44505
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL