CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Frisbie Memorial Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $446
  • Cash Discount Price: $1,299
  • vs. Medicare Baseline: 2.84x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Frisbie Memorial Hospital is $446. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,299. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.84x the Medicare baseline. Located in 11 Whitehall Road, Rochester, NH.
Cash / Self-Pay
$1,299

Average discount available for prompt cash payment at this facility.

Insurance Median
$446

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: $1,299 (827%)
Insurance Median: $446 (284%)
Cash: $1,299 (827% of Medicare)
Ins. Median: $446 (284% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 284% of the Medicare baseline (a markup of 184%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Amerihealth Caritas $107 68%
Humana $109 - $115 69%
Martin's Point Health $112 - $120 71%
Aetna $115 - $751 73%
Blue Cross Blue Shield $115 - $986 73%
United VA Ccn $115 73%
Cigna $117 - $3,962 75%
Evernorth Behavioral Health $117 75%
United $117 - $783 75%
Well Sense Health Plan $159 101%
Ambetter / Centene $205 131%
Harvard Pilgrim $345 - $526 220%
Maine Community Health $371 - $628 236%
Tufts Health Plan $446 - $743 284%
Evernorth $1,039 662%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11 Whitehall Road, Rochester, NH 03867
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals