CMS Price Transparency Data
Screening mammogram (both breasts)
Facility: Upper Connecticut Valley Hospital
Billing Code: 77067 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$199
about 1.6× the $126 Medicare rate · typically $96–$344
modeled estimate · not a bill or quote
Medicare pays $126 Fair price $199 Cash price $501 Hospital's list price $902
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 | $128 - $873 | 101% |
| Blue Cross Blue Shieldmajor | $800 - $854 | 634% |
| Aetnamajor | $530 - $786 | 420% |
| Cignamajor | $780 | 618% |
| Harvard Pilgrim | $270 - $317 | 214% |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Upper Connecticut Valley Hospital
Compare: Screening mammogram (both breasts) at other NH hospitals
- New London Hospital · New London $86
- Cheshire Medical Center · Keene $106
- Elliot Hospital · Manchester $123
- Mary Hitchcock Memorial Hospital · Lebanon $128
- Frisbie Memorial Hospital · Rochester $214
- Portsmouth Regional Hospital · Portsmouth $256
- Parkland Medical Center · Derry $266
- Weeks Medical Center · Lancaster $306
Insurance negotiated median for the same procedure, sorted lowest first.