CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Cambridge Health Alliance

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $635
  • Cash Discount Price: $635
  • vs. Medicare Baseline: 4.05x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Cambridge Health Alliance is $635. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $635. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 4.05x the Medicare baseline. Located in 1493 Cambridge Street, Cambridge, MA.
Cash / Self-Pay
$635

Average discount available for prompt cash payment at this facility.

Insurance Median
$635

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: $635 (405%)
Insurance Median: $635 (405%)
Cash: $635 (405% of Medicare)
Ins. Median: $635 (405% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 405% of the Medicare baseline (a markup of 305%). 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.

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
Blue Cross Blue Shield $214 - $635 136%
Other Tufts Health Public Plan [75002] $228 145%
Aarp [40001] $260 166%
Oxford Health [40004] $260 166%
United Medical Resource [40005] $260 166%
UnitedHealthcare $260 - $347 166%
Health Plans Inc [20002] $347 221%
Hphc [20001] $347 221%
Cigna $370 - $635 236%
Tufts Health Plan [30001] $380 - $443 242%
Mass General Brigham [50021] $404 257%
Wellpoint [50012] $413 263%
Multiplan [50010] $432 275%
Aetna $552 - $635 352%
Altus Dental [99011] $635 405%
Beacon Health Strategies [50002] $635 405%
Cbhc Uninsured Crisis Alt Payer [70097] $635 405%
Cbhc Uninsured Crisis [70096] $635 405%
Celticare [50004] $635 405%
Commonwealth Care Alliance Dental [99004] $635 405%
Coverage Discovery [90004] $635 405%
Delta Dental Of Ma [99007] $635 405%
Dominion National Dental [99012] $635 405%
Dph Tb Payor [85004] $635 405%
Esp Dental [99003] $635 405%
Eyemed Alt Payor [13001] $635 405%
First Health [50007] $635 405%
Global Medical Management [50024] $635 405%
Government Employee Health Association [50023] $635 405%
Guardian Dental [99013] $635 405%
Health Safety Net Dental [99002] $635 405%
Humana $635 405%
Ma Laborers Health And Welfare Fund [50022] $635 405%
Magellan Health Services [65098] $635 405%
Mass Health Dental [99001] $635 405%
Medical Mutual Of Ohio [50019] $635 405%
Medicare (plans) $635 405%
Metlife Dental [99008] $635 405%
Modern Assistance Program [30098] $635 405%
Mva [90002] $635 405%
Neighborhood Health Plan [50011] $635 405%
Other Bh Payor [50014] $635 405%
Other Commercial Payor [50015] $635 405%
Other Dental Payor [99014] $635 405%
Other Dual Eligible Payer [65004] $635 405%
Other Gov'T Alt [85006] $635 405%
Other Vision Payor [50013] $635 405%
Ri Neighborhood Health Plan [50017] $635 405%
Tricare $635 405%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1493 Cambridge Street, Cambridge, MA 02139
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals