CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: The Miriam Hospital

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$233
about 1.5× the $157 Medicare rate · typically $112–$249
modeled estimate · not a bill or quote
What this hospital charges insurers
$241
About the fair price
about $8 over the fair price · 1.5× Medicare
Medicare pays $157 Fair price $233 This hospital $241 Cash price $403 Hospital's list price $403

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

A typical price — 2 charge more and 2 charge less, among the 5 RI hospitals compared.

Cheapest $116 Priciest $257

Black dot = this hospital, among the 5 RI hospitals with a price for this procedure. Full list below.

A fair price for a Diagnostic mammogram (both breasts) is about $233 (about 1.5× the $157 Medicare rate). The Miriam Hospital charges insurers about $241, or about $403 in cash — about the fair price. Located in Providence, RI.

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 $249 159%
Blue Cross Blue Shieldmajor $110 - $258 70%
Aetnamajor $117 75%
Cignamajor $641 408%
Harvard Pilgrim $498 317%
Tufts Health Plan $430 274%
+ 1 smaller / regional plan $209

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Facility Profile & Credentials

  • Address: 164 Summit Avenue, Providence, RI 02906
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals