CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: UMass Memorial Healthalliance Hospitals

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $294
Cash Discount Price: $971
vs. Medicare Baseline: 1.87x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at UMass Memorial Healthalliance Hospitals is $294. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $971. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.87x the Medicare baseline. Located in 60 Hospital Road, Leominster, MA.

Cash / Self-Pay

$971

Average discount available for prompt cash payment at this facility.

Insurance Median

$294

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%)

Cash / Self-Pay: $971 (619%)

Insurance Median: $294 (187%)

Cash: $971 (619% of Medicare)

Ins. Median: $294 (187% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Champva [11001]	$116	74%
Cigna	$116 - $920	74%
Correctional Care [11003]	$116 - $184	74%
Institution [10406]	$116 - $515	74%
Medicare (plans)	$116	74%
Tufts Dual [10111]	$116	74%
Tufts Us Family [11203]	$116	74%
Blue Cross Blue Shield	$120 - $346	76%
Aetna	$122 - $635	78%
Commonwealth Care Mcr [10115]	$122	78%
Fallon Mcr Supp [20202]	$122	78%
Harvard Pilgrim Mcr [10106]	$122	78%
Mgb Mcr [10124]	$122	78%
Tufts Mcr [10112]	$122	78%
UnitedHealthcare	$122 - $971	78%
Senior Whole Health [10110]	$124	79%
Medicaid / KanCare	$149 - $505	95%
Tufts Connectorcare [10507]	$198	126%
Harvard Pilgrim [10701]	$250 - $301	159%
Hsno/Free Care [10801]	$294	187%
Workers Compensation [20501]	$319	203%
Tufts [11201]	$321	204%
Hne [11108]	$542	345%
Wellpoint [11112]	$715	455%
First Health Network [11120]	$728	464%
Multiplan [11109]	$728	464%
Fallon Connectorcare [10503]	$749	477%
Connecticare [11105]	$971	619%
Fallon Carelon Hlth [28]	$971	619%
Fallon Mcaid Carelon Hlth [29]	$971	619%
Grants [20507]	$971	619%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $971.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm UMass Memorial Healthalliance Hospitals is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.