CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Fairview Hospital

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$227

about 1.4× the $157 Medicare rate · typically $147–$238

modeled estimate · not a bill or quote

What this hospital charges insurers

$189

Below the fair price — a good deal

about $38 under the fair price · 1.2× Medicare

Medicare pays $157 Fair price $227 This hospital $189 Cash price $491 Hospital's list price $517

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 $189

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 $227 (about 1.4× the $157 Medicare rate). Fairview Hospital charges insurers about $189, or about $491 in cash — below the fair price — a good deal. Located in Great Barrington, 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	$158 - $541	101%
Blue Cross Blue Shieldmajor	$156 - $535	99%
Aetnamajor	$136 - $475	87%
Cignamajor	$365 - $585	233%
MVP Health Care	$365 - $566	233%
UniCare	$263 - $408	168%
+ 14 smaller / regional plans	$98 - $598

Government programs also on file: Medicare, Medicaid.

Excludes 4 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 491), 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 Fairview Hospital 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 Fairview Hospital

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

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