CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Rainbow Babies and Childrens Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $99
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.63x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Rainbow Babies and Childrens Hospital is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.63x the Medicare baseline. Located in 11100 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$99

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%)
Insurance Median: $99 (63%)
Ins. Median: $99 (63% 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
Aetna $99 - $436 63%
Blue Cross Blue Shield $99 63%
Cigna $99 63%
Devoted Health $99 63%
Humana $99 63%
Medical Mutual Of Ohio $99 63%
Molina $99 63%
Primetime Health Plan $99 63%
Summacare $99 63%
The Health Plan $99 63%
UnitedHealthcare $99 63%
Wellcare By Allwell $99 63%
Paramount $102 65%
Perennial Advantage Of Ohio $104 66%
Valor Health Plans $104 66%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens