CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$136
about 1.1× the $126 Medicare rate · typically $79–$225
modeled estimate · not a bill or quote
What this hospital charges insurers
$128
About the fair price
about $8 under the fair price · 1.0× Medicare
Medicare pays $126 Fair price $136 This hospital $128 Cash price $196 Hospital's list price $640

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

A typical price — 5 charge more and 3 charge less, among the 9 NH hospitals compared.

Cheapest $86 Priciest $414

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

A fair price for a Screening mammogram (both breasts) is about $136 (about 1.1× the $126 Medicare rate). Mary Hitchcock Memorial Hospital charges insurers about $128, or about $196 in cash — about the fair price. Located in Lebanon, NH.

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 $35 - $737 28%
Blue Cross Blue Shieldmajor $35 - $836 28%
Aetnamajor $36 - $834 29%
Cignamajor $36 - $658 29%
Ambetter (Centene) $37 - $304 29%
AmeriHealth $36 - $109 29%
Harvard Pilgrim $44 - $687 35%
MVP Health Care $35 - $643 28%
Tufts Health Plan $117 - $559 93%
WellCare $37 - $133 29%
WellSense $36 - $134 29%
+ 7 smaller / regional plans $35 - $911
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1 Medical Center Drive, Lebanon, NH 03756
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals