CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Brigham and Women's Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $471
Cash Discount Price: $506
vs. Medicare Baseline: 3.73x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Brigham and Women's Hospital is $471. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $506. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 3.73x the Medicare baseline. Located in 75 Francis Street, Boston, MA.

Cash / Self-Pay

$506

Average discount available for prompt cash payment at this facility.

Insurance Median

$471

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)

Cash / Self-Pay: $506 (401%)

Insurance Median: $471 (373%)

Cash: $506 (401% of Medicare)

Ins. Median: $471 (373% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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 373% of the Medicare baseline (a markup of 273%). 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
Mgb Health Plan [150001]	$209 - $258	166%
UnitedHealthcare	$289 - $551	229%
Blue Cross Blue Shield	$319 - $352	253%
Cigna	$359 - $536	284%
International Commercial [140001]	$438 - $551	347%
Aetna	$470	372%
Centers Of Excellence [1026]	$472 - $484	374%
Phcs Multiplan [1022]	$519	411%
Champva [160001]	$640	507%
Tricare	$640	507%

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 $506.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77067.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Brigham and Women's Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77067.
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.