CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: UMass Memorial Health - Harrington Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $376
Cash Discount Price: $717
vs. Medicare Baseline: 2.40x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at UMass Memorial Health - Harrington Hospital is $376. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $717. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.40x the Medicare baseline. Located in 100 South Street, Southbridge, MA.

Cash / Self-Pay

$717

Average discount available for prompt cash payment at this facility.

Insurance Median

$376

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: $717 (457%)

Insurance Median: $376 (240%)

Cash: $717 (457% of Medicare)

Ins. Median: $376 (240% 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 240% of the Medicare baseline (a markup of 140%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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]	$115	73%
Cigna	$115 - $554	73%
Institution [10406]	$115	73%
Mgb Mcr [10124]	$115	73%
Tufts Us Family [11203]	$115	73%
Blue Cross Blue Shield	$119 - $346	76%
Aetna	$121 - $717	77%
Commonwealth Care Alliance [10103]	$121	77%
Fallon Mcr Supp [20202]	$121	77%
Fallon Mcr [10105]	$121	77%
Tufts Mcr [10112]	$121	77%
UnitedHealthcare	$121 - $717	77%
Senior Whole Health [10110]	$123	78%
Tufts Connectorcare [10507]	$195	124%
Harvard Pilgrim [10701]	$329 - $396	210%
Workers Compensation [20501]	$350	223%
Medicaid / KanCare	$373	238%
Hne [11108]	$467	297%
Tufts [11201]	$510	325%
Wellpoint [11112]	$528	336%
First Health Network [11120]	$538	343%
Evernorth Behavioral Health [27]	$574	366%
Hsno/Free Care [10801]	$681	434%
Connecticare [11105]	$717	457%
Fallon Carelon Hlth [28]	$717	457%
Fallon Mcaid Carelon Hlth [29]	$717	457%
Grants [20507]	$717	457%
Masshealth Mcd Mbhp [38]	$717	457%
Wellsense Mcaid Carelon Hlth [21]	$717	457%
Fallon Connectorcare [10503]	$749	477%

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 $717.
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 Health - Harrington Hospital 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.