CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Emerson Hospital -

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$159

about 1.3× the $126 Medicare rate · typically $93–$252

modeled estimate · not a bill or quote

What this hospital charges insurers

$107

Below the fair price — a good deal

about $52 under the fair price · 0.8× Medicare

Medicare pays $126 Fair price $159 This hospital $107 Cash price $434 Hospital's list price $579

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

On the higher side — 6 of 8 other MA hospitals charge less.

Cheapest $37 Priciest $109

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 Screening mammogram (both breasts) is about $159 (about 1.3× the $126 Medicare rate). Emerson Hospital - charges insurers about $107, or about $434 in cash — below the fair price — a good deal. Located in W Concord, 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	$107 - $657	85%
Blue Cross Blue Shieldmajor	$107 - $493	85%
Aetnamajor	$320 - $420	253%
Cignamajor	$458 - $601	363%
Tufts Health Plan	$107	85%
+ 1 smaller / regional plan	$90

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (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 434), 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: 77067.

Insurance Before you use insurance

Call your insurance company to confirm Emerson Hospital - is in-network.
Ask your insurer whether prior approval is required for CPT code 77067.
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 Emerson Hospital -

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

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