CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Boulder Community Health

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$140

about 0.9× the $157 Medicare rate · typically $101–$196

modeled estimate · not a bill or quote

What this hospital charges insurers

$160

About the fair price

about $20 over the fair price · 1.0× Medicare

Medicare pays $157 Fair price $140 This hospital $160 Cash price $304 Hospital's list price $607

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

Highest price of the 9 CO hospitals we have prices for — worth calling around.

Cheapest $47 Priciest $160

Black dot = this hospital, among the 9 CO hospitals with a price for this procedure. Full list below.

A fair price for a Diagnostic mammogram (both breasts) is about $140 (about 0.9× the $157 Medicare rate). Boulder Community Health charges insurers about $160, or about $304 in cash — about the fair price. Located in Boulder, CO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$46 - $365	29%
Blue Cross Blue Shieldmajor	$44 - $460	28%
Aetnamajor	$46 - $529	29%
Cignamajor	$76 - $486	48%
Humanamajor	$46 - $162	29%
Kaiser Permanentemajor	$71 - $302	45%
Devoted Health	$46 - $243	29%
SelectHealth	$64 - $373	41%
+ 12 smaller / regional plans	$46 - $589

Government programs also on file: Medicare, Medicaid.

Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 304), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77066.

Insurance Before you use insurance

Call your insurance company to confirm Boulder Community Health is in-network.
Ask your insurer whether prior approval is required for CPT code 77066.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Boulder Community Health

Compare: Diagnostic mammogram (both breasts) at other CO hospitals

Insurance negotiated median for the same procedure, sorted lowest first.