CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Cheshire Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $161
Cash Discount Price: $153
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Cheshire Medical Center is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $153. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.03x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$153

Average discount available for prompt cash payment at this facility.

Insurance Median

$161

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: $153 (97%)

Insurance Median: $161 (103%)

Cash: $153 (97% of Medicare)

Ins. Median: $161 (103% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 Nh	$29 - $126	18%
Wellsense Health Plan	$33 - $169	21%
Granite State Health Plan	$39 - $146	25%
Aetna	$47 - $597	30%
Ambetter / Centene	$50 - $158	32%
Blue Cross Blue Shield	$50 - $694	32%
Cigna	$50 - $645	32%
Harvard Pilgrim Health Care Of Ne	$50 - $397	32%
Martin'S Point Generations Advantage	$50 - $158	32%
Martin'S Point Health Care	$50 - $162	32%
Mvp	$50 - $645	32%
UnitedHealthcare	$50 - $663	32%
Wellcare Health Plans	$50 - $158	32%
Maine Community Health Options	$106 - $393	68%
Mass General Brigham Health Plan	$128 - $873	82%
Tufts Health Plan	$139 - $557	89%
First Health/Hcvm	$201 - $742	128%
Phcs	$212 - $786	135%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $153.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cheshire Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.