CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Elliot Hospital

Billing Code: 77067 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$156
about 1.2× the $126 Medicare rate · typically $115–$432
modeled estimate · not a bill or quote
What this hospital charges insurers
$123
Below the fair price — a good deal
about $33 under the fair price · 1.0× Medicare
Medicare pays $126 Fair price $156 This hospital $123 Cash price $315 Hospital's list price $850

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

One of the lower prices — 6 of 8 other NH hospitals charge more for the same procedure.

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 $156 (about 1.2× the $126 Medicare rate). Elliot Hospital charges insurers about $123, or about $315 in cash — below the fair price — a good deal. Located in Manchester, NH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $95 - $543 75%
Aetnamajor $97 77%
Cignamajor $650 515%
Ambetter (Centene) $123 97%
WellSense $99 78%
+ 1 smaller / regional plan $100

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 Elliot Way, Manchester, NH 03103
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals