CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: North Adams Regional Hospital Corporation

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 North Adams Regional Hospital Corporation 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 71 Hospital Avenue, North Adams, 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
Mcd New York $85 - $124 54%
Blue Cross Blue Shield $92 - $535 59%
Mcrmanaged Cca One Care $92 - $185 59%
Medicare (plans) $92 - $172 59%
Comm Hospice $93 - $163 59%
Mcr Miscellaneous $93 - $163 59%
Mcrmanaged Usa Family $93 - $163 59%
Mcrmanaged Va $93 - $163 59%
Medicaid / KanCare $93 - $277 59%
Oth United Vaccn $93 - $163 59%
Mcd Masshealth $124 - $171 79%
Mcd Out Of State $124 - $171 79%
Mcdmanaged Cdphp $124 - $171 79%
Mcdmanaged Hne Mcdaco $124 - $171 79%
Comm Network Qhpsub $137 - $355 87%
Mcdmanaged Network $137 - $355 87%
Mcdmanaged Bmchnp $143 - $178 91%
Tricare $152 - $237 97%
Aetna $193 - $475 123%
Comm Fallon Qhp $229 - $356 146%
Wc Workers Comp $246 - $382 157%
Comm Network Qhpnonsub $259 - $452 165%
Comm Nhp $262 - $407 167%
Comm Unicare $263 - $408 168%
Comm Hne Hmo $267 - $415 170%
Comm Hne $283 - $439 180%
Comm Hne Ppo $284 - $440 181%
Comm Tufts $321 - $498 204%
UnitedHealthcare $349 - $541 222%
Cigna $365 - $585 233%
Comm Cdphp $365 - $566 233%
Comm Mvp $365 - $566 233%
Comm Oxford $365 - $566 233%
Comm First Health $377 - $598 240%
Comm Connecticare $385 - $598 245%
Comm Consolidated Health $385 - $598 245%
Comm Harvard $385 - $598 245%
Comm Other $385 - $598 245%
Comm Phcs $385 - $598 245%
Comm Self Pay $385 - $598 245%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 71 Hospital Avenue, North Adams, MA 01247
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Federal
  • Hospital Type: Critical Access Hospitals