CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Fairview Hospital

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$177

about 1.4× the $126 Medicare rate · typically $118–$202

modeled estimate · not a bill or quote

What this hospital charges insurers

$135

Below the fair price — a good deal

about $42 under the fair price · 1.1× Medicare

Medicare pays $126 Fair price $177 This hospital $135 Cash price $364 Hospital's list price $383

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 $37 Priciest $135

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

A fair price for a Screening mammogram (both breasts) is about $177 (about 1.4× the $126 Medicare rate). Fairview Hospital charges insurers about $135, or about $364 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	$96 - $329	76%
Blue Cross Blue Shieldmajor	$94 - $325	74%
Aetnamajor	$110 - $289	87%
Cignamajor	$345 - $356	273%
MVP Health Care	$345	273%
UniCare	$248 - $297	196%
+ 14 smaller / regional plans	$84 - $364

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 364), 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 Fairview 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 Fairview Hospital

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

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