CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Florida Jfk Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $131
  • Cash Discount Price: $659
  • vs. Medicare Baseline: 0.83x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Florida Jfk Hospital is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $659. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.83x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$659

Average discount available for prompt cash payment at this facility.

Insurance Median
$131

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: $659 (420%)
Insurance Median: $131 (83%)
Cash: $659 (420% of Medicare)
Ins. Median: $131 (83% 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
Freedom Health $57 - $105 36%
Optimum $57 36%
Avmed $86 - $330 55%
Simply Healthcare Plans $86 55%
Humana $105 - $224 67%
Palm Beach Pace $107 68%
Molina $112 - $178 71%
Careplus Sfl $113 72%
Devoted Health $113 72%
Ndms Definitive Care $113 72%
United $113 - $297 72%
United Behavioral Health $113 72%
Veterans Evaluation Services $113 72%
Wellmed $113 72%
Blue Cross Blue Shield $115 73%
Aetna $116 - $198 74%
Oscar $118 75%
Prominence Healthfirst $118 75%
Sunshine State $118 - $124 75%
American Health Plan $119 76%
Align $120 76%
Cigna $120 76%
Florida Complete Care $120 76%
Centurion $124 79%
Doctors Healthcare Plan $124 79%
Gold Kidney $126 80%
Amerihealth Caritas $135 86%
Longevity Health Plan $135 86%
Health Sun Health Plan $140 89%
Aids Healthcare $145 - $791 92%
Mmm Of Fl (Health Advantage Plan) $152 97%
United Ppo $156 99%
Solis Health Plan $163 104%
Sunshine State Health Plan $171 109%
Blis $231 147%
District Cares $330 210%
Plotkin Health $330 210%
Prime Health Sherriff $330 210%
Medica Healthcare $389 248%
Multiplan $494 - $560 315%
Evernorth Bh $527 336%
Healthy Palm Beaches $550 350%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals