CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Boston Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $138
  • Cash Discount Price: $432
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Boston Medical Center is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $432. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.88x the Medicare baseline. Located in 1 Boston Medical Center Place, Boston, MA.
Cash / Self-Pay
$432

Average discount available for prompt cash payment at this facility.

Insurance Median
$138

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: $432 (275%)
Insurance Median: $138 (88%)
Cash: $432 (275% of Medicare)
Ins. Median: $138 (88% 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.

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
Aetna $132 - $469 84%
Blue Cross Blue Shield $132 - $214 84%
Corrections [9001] $132 - $165 84%
Fallon Sco [1126] $132 84%
Humana $132 84%
Medicare (plans) $132 - $138 84%
Neighborhood Pace [1206] $132 84%
Oxford Health [1007] $132 84%
Oxford Health [2024] $132 84%
Senior Whole Health [1210] $132 84%
Tufts Conncare/Qhp [8020] $132 - $431 84%
Tufts [8002] $132 - $390 84%
Ubh Hphc [8016] $132 84%
United [2025] $132 84%
UnitedHealthcare $132 84%
Veterans Admin [9003] $132 84%
Wellcare [1240] $132 84%
Zzzcovid19 Hrsa Uninsured Testing And Treatment Fund [500010] $132 84%
Zzzunited [1008] $132 84%
Champva [9004] $134 85%
Tricare $134 85%
Cca [1215] $138 88%
Zzzcca Onecare [1216] $138 88%
Eternalhealth [1227] $140 89%
Fallon [8008] $171 109%
Medicaid / KanCare $345 220%
Uphams Corner Esp [1213] $384 245%
Cigna $390 - $815 248%
Workers Comp [5002] $411 262%
Zzzbu Employee Work Comp [5004] $411 262%
Zzzcity Of Boston Work Comp [5003] $411 262%
Meritain Health [1023] $469 299%
Hsn Bad Debt [4003] $513 327%
Hsn Confidential [4007] $513 327%
Hsn Dental [4006] $513 327%
Hsn Partial [4002] $513 327%
Hsn [4001] $513 327%
Mass General Brigham Health Plan Commercial [8009] $517 329%
Unicare [8004] $719 458%
Wellpoint [2034] $719 458%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Boston Medical Center Place, Boston, MA 02118
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals