CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Saint Alphonsus Regional Medical Center

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$220

about 1.4× the $157 Medicare rate · typically $105–$309

modeled estimate · not a bill or quote

What this hospital charges insurers

$218

About the fair price

about $2 under the fair price · 1.4× Medicare

Medicare pays $157 Fair price $220 This hospital $218 Cash price $348 Hospital's list price $536

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

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

Cheapest $42 Priciest $218

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

A fair price for a Diagnostic mammogram (both breasts) is about $220 (about 1.4× the $157 Medicare rate). Saint Alphonsus Regional Medical Center charges insurers about $218, or about $348 in cash — about the fair price. Located in Boise, ID.

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	$99 - $536	63%
Blue Cross Blue Shieldmajor	$99 - $356	63%
Aetnamajor	$102 - $492	65%
Cignamajor	$608	387%
Humanamajor	$472 - $536	301%
Kaiser Permanentemajor	$356	227%
Dean Health Plan	$482	307%
GEHA	$482 - $492	307%
Health Net	$391 - $482	249%
Moda Health	$101 - $482	64%
Molina	$239	152%
PacificSource	$322 - $391	205%
Paramount	$482	307%
Priority Health	$608	387%
SelectHealth	$248 - $482	158%
+ 42 smaller / regional plans	$103 - $608

Government programs also on file: Medicare, Medicaid.

Excludes 3 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 348), 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 Saint Alphonsus Regional Medical Center 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 Saint Alphonsus Regional Medical Center

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

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