Paul Oliver Memorial Hospital — Mammogram prices
← Hospital overviewVerified from Paul Oliver Memorial Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
14 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| MA Exams Outpatient | 77066 CPT | $490 | $417 | $103 – $466 | — | |
| MA Exams Outpatient | 77065 CPT | $380 | $323 | $81.68 – $361 | — | |
| MA Exams Outpatient | 77067 CPT | $387 | $329 | $83.04 – $368 | — | |
| MA FFD MAMM DIAGNOSTIC FOLLOW SCRN BIL Outpatient | 77066 CPT | $490 | $417 | $103 – $466 | — | |
| MA FFD MAMM DIAGNOSTIC FOLLOW SCRN LT Outpatient | 77065 CPT | $380 | $323 | $81.68 – $361 | — | |
| MA FFD MAMM DIAGNOSTIC FOLLOW SCRN RT Outpatient | 77065 CPT | $380 | $323 | $81.68 – $361 | — | |
| MA FFD MAMM DIAGNOSTIC UNI LT Outpatient | 77065 CPT | $380 | $323 | $81.68 – $361 | — | |
| MA FFD MAMM DIAGNOSTIC W/ CONT LT Outpatient | 77065 CPT | $369 | $314 | $81.68 – $351 | — | |
| MA FFD MAMM SCREEN BILATERAL Outpatient | 77067 CPT | $387 | $329 | $83.04 – $368 | — | |
| MA MAMM 3D DIAGNOSTIC BIL Outpatient | 77066 CPT | $490 | $417 | $103 – $466 | — | |
| MA MAMM 3D DIAGNOSTIC RT Outpatient | 77065 CPT | $380 | $323 | $81.68 – $361 | — | |
| MA MAMM 3D DIAGNOSTIC W/ CONT BIL Outpatient | 77066 CPT | $476 | $405 | $103 – $452 | — | |
| MA MAMM 3D DIAGNOSTIC W/ CONT LT Outpatient | 77065 CPT | $369 | $314 | $81.68 – $351 | — | |
| MA MAMM 3D DIAGNOSTIC W/ CONT RT Outpatient | 77065 CPT | $369 | $314 | $81.68 – $351 | — |