CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Alice Peck Day Memorial Hospital

Billing Code: 77066 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$308

about 2.0× the $157 Medicare rate · typically $84–$955

modeled estimate · not a bill or quote

Medicare pays $157 Fair price $308 Cash price $597 Hospital's list price $1,107

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$797	508%
Blue Cross Blue Shieldmajor	$547 - $985	348%
Aetnamajor	$996 - $1,052	634%
Cignamajor	$848 - $906	540%
Humanamajor	$1,151	733%
Harvard Pilgrim	$689 - $960	439%
MVP Health Care	$1,007	641%
Tufts Health Plan	$812	517%
+ 3 smaller / regional plans	$848 - $856

Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 597), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77066.

Insurance Before you use insurance

Call your insurance company to confirm Alice Peck Day Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 77066.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Alice Peck Day Memorial Hospital

Compare: Diagnostic mammogram (both breasts) at other NH hospitals

Insurance negotiated median for the same procedure, sorted lowest first.