CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: North Shore Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $227
  • Cash Discount Price: $1,523
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at North Shore Medical Center is $227. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,523. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.45x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$1,523

Average discount available for prompt cash payment at this facility.

Insurance Median
$227

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: $1,523 (970%)
Insurance Median: $227 (145%)
Cash: $1,523 (970% of Medicare)
Ins. Median: $227 (145% 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.

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
Humana $30 - $766 19%
Medicaid / KanCare $30 - $1,919 19%
UnitedHealthcare $31 - $110 20%
Aetna $34 - $1,382 22%
Veterans Administration Mill Bill $77 49%
Medicare (plans) $99 - $1,919 63%
Devoted Health $110 70%
Leon Health Inc $110 70%
Employer Direct Healthcare $112 - $200 71%
Hospice Other $112 71%
Tricare $112 71%
Veterans Administration Vaccn $112 71%
Cigna $116 - $960 74%
Healthsun Health Plans $116 - $165 74%
Longevity Health Plan $118 75%
Florida Pace Centers $133 85%
Bc/Bs Myblue Hmo Hix $135 86%
Bright Health Management Commercial $135 86%
Avmed Broad Network $137 87%
Centurion Prison $138 88%
Self Pay/Uninsured $138 - $197 88%
Bc/Bs Of Fl Simplyblue $142 90%
Imagine Health $181 115%
Bc/Bs Of Fl Network Blue $190 121%
Bc/Bs Of Fl Health Options Hmo $193 123%
Avmed Exchange $196 125%
Bc/Bs Of Fl Ppo $203 129%
Ambetter / Centene $208 133%
Bc/Bs Of Fl Blue Select Exchange Non Par $211 134%
Molina Marketplace Program Exchange $214 136%
Auto Insurance $224 143%
Oscar Health Plan Hix $224 143%
Avmed Select Network $230 147%
Amerihealth Caritas Next Exchange $241 154%
Bc/Bs Of Fl Phs $584 - $995 372%
Magellan Behavioral Health $676 - $1,152 431%
Dimensions International $733 - $1,248 467%
First Health $766 - $1,305 488%
Dimension Health Ppo $845 - $1,440 538%
Dimension Health Wc $845 - $1,440 538%
Workers Compensation $845 - $1,440 538%
Beacon Health Strategies Commercial $1,127 - $1,919 718%
Commercial Non-Contracted $1,127 - $1,919 718%
Self Pay - Mcd Pending 100 Percent $1,127 - $1,919 718%
Single Case Agreement $1,127 - $1,919 718%
United Behavioral Health Psych $1,127 - $1,919 718%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals