Screening mammogram (both breasts)
Facility: Ohio Valley Surgical Hospital
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $369
- Cash Discount Price: $246
- vs. Medicare Baseline: 2.92x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 292% of the Medicare baseline (a markup of 192%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $83 - $17,827 | 66% |
| Blue Cross Blue Shield | $83 - $40,293 | 66% |
| Devoted Health | $99 - $13,707 | 78% |
| Central States | $116 - $11,885 | 92% |
| Champus | $116 - $11,885 | 92% |
| Communicare Advantage | $116 - $11,885 | 92% |
| Molina Dual McR | $116 - $11,885 | 92% |
| Cigna | $116 - $18,817 | 92% |
| Mmoh | $116 - $11,885 | 92% |
| Medicare (plans) | $116 - $12,264 | 92% |
| Aarp | $116 - $11,885 | 92% |
| Molina McR McD | $116 - $11,885 | 92% |
| American Continental Life | $116 - $11,885 | 92% |
| Everest | $116 - $11,885 | 92% |
| Aarp Supplemental | $116 - $11,885 | 92% |
| Molina Dual McR | $116 - $11,885 | 92% |
| Gateway Health Plan | $116 - $11,885 | 92% |
| Medigold | $116 - $11,885 | 92% |
| UnitedHealthcare | $116 - $17,571 | 92% |
| Molina | $116 - $11,885 | 92% |
| Molina McR | $116 - $11,885 | 92% |
| Wellcare By Allwell | $116 - $11,885 | 92% |
| Aetna | $116 - $20,896 | 92% |
| Bankers Life and Casualty | $116 - $11,885 | 92% |
| Humana | $116 - $11,919 | 92% |
| Aultcare Primetime Health Plan | $116 - $11,885 | 92% |
| American Republic | $116 - $11,885 | 92% |
| American Retirement | $116 - $11,885 | 92% |
| Prosperity Supplement | $116 - $11,885 | 92% |
| American Continental Insurance | $116 - $11,885 | 92% |
| Bankers Fidelity | $116 - $11,885 | 92% |
| Molina Marketplace | $116 - $11,885 | 92% |
| Wraparound Pl Supp | $116 - $11,885 | 92% |
| Patient No Pay | $116 - $11,885 | 92% |
| Molina McR+McD | $116 - $11,885 | 92% |
| The Health Plan | $122 - $12,479 | 97% |
| Employer Direct | $133 - $15,703 | 105% |
| Meritain | $144 - $20,896 | 114% |
| Mail Handlers | $144 - $20,896 | 114% |
| Personify Health | $144 - $20,896 | 114% |
| Pacific Source | $144 - $20,896 | 114% |
| Mhbp | $144 - $20,896 | 114% |
| Geha | $144 - $20,896 | 114% |
| Ngs Coresource | $144 - $20,896 | 114% |
| Nippon Life | $144 - $20,896 | 114% |
| Meritain Heatlh | $144 - $20,896 | 114% |
| Genworth | $144 - $20,896 | 114% |
| Nalc | $149 - $18,817 | 118% |
| Samba | $149 - $18,817 | 118% |
| Unified Group | $149 - $18,817 | 118% |
| Healthgram | $149 - $18,817 | 118% |
| Sbma | $149 - $18,817 | 118% |
| Shl | $153 - $17,571 | 121% |
| Medica | $153 - $17,571 | 121% |
| Oxford | $153 - $17,571 | 121% |
| Golden Rule | $153 - $17,571 | 121% |
| Surest | $153 - $17,571 | 121% |
| Ushealth | $153 - $17,571 | 121% |
| Caresourse | $174 - $17,827 | 138% |
| Caresource | $174 - $17,827 | 138% |
| Self Pay Imaging | $185 - $11,885 | 147% |
| Mmo Cin. HMO | $189 - $258 | 150% |
| Mmoh (Supermed) | $189 - $191 | 150% |
| Luminare Health | $369 | 292% |
| Ohio Health | $369 | 292% |
| Preferred Health | $369 | 292% |
| Medben | $369 | 292% |
| Amerihealth Caritas of Ohio | $3,657 | 2897% |
| Buckeye Community Health Plan | $4,022 | 3186% |
| Molina McD | $4,084 | 3235% |