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Diagnostic mammography unilateral

CPT 77065 · negotiated-rate distribution across hospitals in MA

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Hospitals
11
Min
$102.24
Median
$270.25
Max
$319.2
Range multiplier
3.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
harvard pilgrim [10701]459$195.64$324.51$1,998.7210.2×
Blue Cross Blue Shield759$85$270.01$1,572.9618.5×
UnitedHealthcare744$22.71$97.01$482.321.2×
tufts [11201]431$226.33$511.34$2,374.310.5×
Aetna727$24.88$295.11$983.7139.5×
institution [10406]427$90.09$90.66$6086.7×
Cigna722$90.09$445.13$1,66018.4×
Medicaid418$27.79$187.48$494.417.8×
correctional care [11003]314$90.66$143.24$465.125.1×
fallon connectorcare [10503]410$288.19$585.59$878.383.0×
senior whole health [10110]48$96.4$97.01$97.011.0×
CHAMPVA48$90.09$90.66$90.661.0×
mgb mcr [10124]48$90.09$95.19$95.191.1×
hsno/free care [10801]48$294.3$672.16$680.812.3×
tufts connectorcare [10507]48$153.24$154.21$154.211.0×
tufts us family [11203]48$90.09$90.66$90.661.0×
Medicare36$90.66$90.66$90.661.0×
medcost16$193.5$293.5$462.82.4×
tufts dual [10111]36$90.66$90.66$90.661.0×
commonwealth care mcr [10115]36$95.19$95.19$95.191.0×
fallon mcr [10105]36$94.59$95.19$95.191.0×
Multiplan45$456$603$649.81.4×
First Health55$60$456$60310.1×
workers compensation [20501]44$243.2$253.74$275.121.1×
amerihealth24$86.71$95.7$234.362.7×
connecticare [11105]44$564$608$8041.4×
eternalhealth mcr replace [10116]24$95.19$95.19$95.191.0×
fallon mcaid carelon hlth [29]44$564$608$8041.4×
fallon mcr supp [20202]24$94.59$94.89$95.191.0×
grants [20507]44$564$608$8041.4×
harvard pilgrim mcr supp [20203]24$95.19$95.19$95.191.0×
hne [11108]44$274.21$320.63$448.551.6×
tufts mcr [10112]24$94.59$94.89$95.191.0×
tufts mcr supp [20209]24$95.19$95.19$95.191.0×
wellpoint [11112]44$415.33$447.73$592.071.4×
masshealth mcd mbhp [38]33$564$608$6081.1×
evernorth behavioral health [27]33$451.2$486.4$486.41.1×
geisinger13$122.89$458.34$890.747.2×
wellsense cc carelon hlth [20]22$608$608$6081.0×
optum transplant [20601]22$608$608$6081.0×
automobile [10401]22$608$608$6081.0×
oscar12$216.6$252.7$288.81.3×
upmc health plan12$143.37$174.1$204.821.4×
harvard pilgrim mcr [10106]12$95.19$95.19$95.191.0×
pennsylvania health and wellness12$128.01$273.88$419.753.3×
wellfleet [11106]22$547.2$547.2$547.21.0×
private healthcare systems12$592.04$592.04$592.041.0×
qualcare inc12$76.8$79.35$81.91.1×
hp optum bh [32]22$564$684$8041.4×
Humana12$671.46$678.68$685.91.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA37$12,590$12,590$27.79$319.2$2,374.3
MARLBOROUGH HOSPITALMARLBOROUGHMA37$12,590$12,590$27.79$319.2$2,374.3
HIGH POINT HOSPITALMIDDLEBOROUGHMA19$722$361$104.69$286.64$685.9
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA14$1,081$96.57$270.25$1,059.38
HARRINGTON MEMORIAL HOSPITALSOUTHBRIDGEMA31$15,465$15,465$90.09$270.01$1,572.96
HEALTHALLIANCE-CLINTONLEOMINSTERMA32$19,042$19,042$90.66$235.15$1,660
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA10$619$20.83$102.24$454.85
NORTH ADAMS REGIONAL HOSPITALNORTH ADAMSMA0$562.99$534.84
FAIRVIEW HOSPITALGREAT BARRINGTONMA0$562.99$534.84
BERKSHIRE MEDICAL CENTERPITTSFIELDMA0$562.99$534.84
NORTH SHORE MEDICAL CENTERSALEMMA0$1,654.62$1,654.62

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.