CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: North Adams Regional Hospital Corporation

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$140

about 1.1× the $126 Medicare rate · typically $116–$150

modeled estimate · not a bill or quote

What this hospital charges insurers

$155

About the fair price

about $15 over the fair price · 1.2× Medicare

Medicare pays $126 Fair price $140 This hospital $155 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 $155

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 $140 (about 1.1× the $126 Medicare rate). North Adams Regional Hospital Corporation charges insurers about $155, or about $364 in cash — about the fair price. Located in North Adams, 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	$329	261%
Blue Cross Blue Shieldmajor	$94 - $325	74%
Aetnamajor	$155 - $289	123%
Cignamajor	$345 - $356	273%
CDPHP	$149 - $345	118%
MVP Health Care	$345	273%
Tufts Health Plan	$303	240%
UniCare	$248 - $297	196%
+ 21 smaller / regional plans	$85 - $364

Government programs also on file: Medicare, Medicaid, Military & VA.

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 North Adams Regional Hospital Corporation 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 North Adams Regional Hospital Corporation

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

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