CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Palisades Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $311
Cash Discount Price: $208
vs. Medicare Baseline: 1.98x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Palisades Medical Center is $311. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $208. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.98x the Medicare baseline. Located in 7600 River Rd, North Bergen, NJ.

Cash / Self-Pay

$208

Average discount available for prompt cash payment at this facility.

Insurance Median

$311

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: $208 (133%)

Insurance Median: $311 (198%)

Cash: $208 (133% of Medicare)

Ins. Median: $311 (198% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Karna	$86 - $306	55%
Horizon	$95 - $906	61%
Amerihealth	$157	100%
Aetna	$179 - $320	114%
Seoul Medical Group	$182	116%
Clover	$188	120%
Amerigroup	$208	133%
Blue Cross Blue Shield	$208	133%
UnitedHealthcare	$208 - $316	133%
Vaccn	$208	133%
Wellcare	$208	133%
United Community/Americhoice	$218	139%
Oxford	$316	201%
Cigna	$413	263%
Activecare First McO	$784	499%
Bergen Risk	$784	499%
Multiplan - PHCS	$888	566%
Brighton Health Plan	$940	599%
Qualcare	$968	617%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $208.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Palisades Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.