CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: HCA Florida Jfk Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $111
  • Cash Discount Price: $659
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at HCA Florida Jfk Hospital is $111. 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 $126.25, this hospital’s rate is 0.88x 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
$111

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $659 (522%)
Insurance Median: $111 (88%)
Cash: $659 (522% of Medicare)
Ins. Median: $111 (88% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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 45%
Optimum $57 45%
Avmed $86 - $330 68%
Simply Healthcare Plans $86 68%
Humana $87 - $224 69%
Palm Beach Pace $88 70%
Careplus Sfl $93 74%
Devoted Health $93 74%
Ndms Definitive Care $93 74%
United $93 - $297 74%
United Behavioral Health $93 74%
Veterans Evaluation Services $93 74%
Wellmed $93 74%
Blue Cross Blue Shield $94 74%
Aetna $95 - $198 75%
Oscar $97 77%
Prominence Healthfirst $97 77%
Sunshine State $97 - $102 77%
American Health Plan $98 78%
Align $99 78%
Cigna $99 78%
Florida Complete Care $99 78%
Centurion $102 81%
Doctors Healthcare Plan $102 81%
Gold Kidney $104 82%
Amerihealth Caritas $111 88%
Longevity Health Plan $111 88%
Molina $112 - $178 89%
Solis Health Plan $134 106%
Health Sun Health Plan $140 111%
Aids Healthcare $145 - $791 115%
Mmm Of Fl (Health Advantage Plan) $152 120%
United Ppo $156 124%
Sunshine State Health Plan $171 135%
Blis $231 183%
District Cares $330 261%
Plotkin Health $330 261%
Prime Health Sherriff $330 261%
Medica Healthcare $389 308%
Multiplan $494 - $560 391%
Evernorth Bh $527 417%
Healthy Palm Beaches $550 436%

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