CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $198
Cash Discount Price: $731
vs. Medicare Baseline: 1.26x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Univ. of Vermont - Fletcher Allen Health Care is $198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $731. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.26x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$731

Average discount available for prompt cash payment at this facility.

Insurance Median

$198

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: $731 (466%)

Insurance Median: $198 (126%)

Cash: $731 (466% of Medicare)

Ins. Median: $198 (126% 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
UnitedHealthcare	$31 - $720	20%
Mvp	$38 - $688	24%
Aetna	$45 - $336	29%
Blue Cross Blue Shield	$45 - $682	29%
Capital District Physicians' Health Plan	$45 - $548	29%
Humana	$45 - $205	29%
Martins Point	$45 - $152	29%
St. Regis	$45 - $152	29%
Veterans Affairs Community Care Network	$45 - $152	29%
Fidelis Care	$51 - $175	32%
Wellpath	$62 - $402	39%
Ebpa	$164 - $629	104%
Harvard Pilgrim	$170 - $585	108%
Magnacare	$170 - $585	108%
Coventry	$181 - $621	115%
Nppn	$192 - $658	122%
Cigna	$198 - $675	126%

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 $731.
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 Univ. of Vermont - Fletcher Allen Health Care 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.