CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Boston Medical Center

Billing Code: 77066 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$183

about 1.2× the $157 Medicare rate · typically $117–$431

modeled estimate · not a bill or quote

What this hospital charges insurers

$132

Below the fair price — a good deal

about $51 under the fair price · 0.8× Medicare

Medicare pays $157 Fair price $183 This hospital $132 Cash price $432 Hospital's list price $959

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $49 Priciest $132

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Diagnostic mammogram (both breasts) is about $183 (about 1.2× the $157 Medicare rate). Boston Medical Center charges insurers about $132, or about $432 in cash — below the fair price — a good deal. Located in Boston, MA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 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	$132	84%
Blue Cross Blue Shieldmajor	$132 - $719	84%
Aetnamajor	$132 - $469	84%
Cignamajor	$390 - $815	248%
Humanamajor	$132	84%
Tufts Health Plan	$132 - $431	84%
UniCare	$719	458%
WellCare	$132	84%
+ 18 smaller / regional plans	$132 - $517

Government programs also on file: Medicare, Medicaid, Military & VA.

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 432), 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 Boston 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 Boston Medical Center

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

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