CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Southcoast Hospitals Group

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$158

about 1.0× the $157 Medicare rate · typically $123–$188

modeled estimate · not a bill or quote

What this hospital charges insurers

$119

Below the fair price — a good deal

about $39 under the fair price · 0.8× Medicare

Medicare pays $157 Fair price $158 This hospital $119 Cash price $255 Hospital's list price $509

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

One of the lower prices — 6 of 8 other MA hospitals charge more for the same procedure.

Cheapest $49 Priciest $132

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

A fair price for a Diagnostic mammogram (both breasts) is about $158 (about 1.0× the $157 Medicare rate). Southcoast Hospitals Group charges insurers about $119, or about $255 in cash — below the fair price — a good deal. Located in Fall River, MA.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$115 - $176	73%
Blue Cross Blue Shieldmajor	$115 - $214	73%
Aetnamajor	$115 - $387	73%
Cignamajor	$319	203%
Harvard Pilgrim	$228	145%
Priority Health	$305	194%
Tufts Health Plan	$104 - $412	66%
WellSense	$91 - $116	58%
+ 8 smaller / regional plans	$115 - $305

Government programs also on file: Medicare.

Excludes 2 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 255), 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 Southcoast Hospitals Group 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 Southcoast Hospitals Group

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

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