CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Cheshire Medical Center

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$105
about 0.8× the $126 Medicare rate · typically $84–$112
modeled estimate · not a bill or quote
What this hospital charges insurers
$106
About the fair price
about $1 over the fair price · 0.8× Medicare
Medicare pays $126 Fair price $105 This hospital $106 Cash price $136 Hospital's list price $495

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

One of the lower prices — 7 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 $105 (about 0.8× the $126 Medicare rate). Cheshire Medical Center charges insurers about $106, or about $136 in cash — about the fair price. Located in Keene, 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 $38 - $600 30%
Blue Cross Blue Shieldmajor $38 - $628 30%
Aetnamajor $36 - $541 29%
Cignamajor $38 - $533 30%
Ambetter (Centene) $38 - $128 30%
AmeriHealth $24 - $104 19%
Harvard Pilgrim $42 - $360 33%
MVP Health Care $38 - $533 30%
Tufts Health Plan $106 - $505 84%
WellCare $38 - $128 30%
WellSense $27 - $137 21%
+ 5 smaller / regional plans $33 - $791
Excludes 2 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: 580 Court Street, Keene, NH 03431
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals