CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Fairview Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $306
  • Cash Discount Price: $491
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Fairview Hospital is $306. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $491. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.95x the Medicare baseline. Located in 29 Lewis Avenue, Great Barrington, MA.
Cash / Self-Pay
$491

Average discount available for prompt cash payment at this facility.

Insurance Median
$306

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: $491 (313%)
Insurance Median: $306 (195%)
Cash: $491 (313% of Medicare)
Ins. Median: $306 (195% 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
Capital District Physicians' Health Plan $98 - $566 62%
Medicaid / KanCare $98 - $171 62%
Health New England $124 - $439 79%
Aetna $136 - $475 87%
Point32Health $137 - $598 87%
Bmchnp $143 - $178 91%
Other Government $152 - $245 97%
Commcare Alliance $155 - $240 99%
Blue Cross Blue Shield $156 - $535 99%
Fallon $156 - $277 99%
Medicare (plans) $156 - $241 99%
Hospice $158 - $245 101%
UnitedHealthcare $158 - $541 101%
Comm Fallon Qhp $242 - $388 154%
Workers Comp $258 - $401 164%
Allways Nhp $262 - $407 167%
Unicare $263 - $408 168%
Comm Hne Hmo $267 - $415 170%
Comm Hne Ppo $284 - $440 181%
Cigna $365 - $585 233%
Mvp $365 - $566 233%
Oxford $365 - $566 233%
First Health $377 - $598 240%
Connecticare $385 - $598 245%
Consolidated Health Plans $385 - $598 245%
Other Commercial $385 - $598 245%
Phcs $385 - $598 245%
Self Pay $385 - $598 245%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 29 Lewis Avenue, Great Barrington, MA 01230
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals