CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Jersey Shore University Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $297
Cash Discount Price: $169
vs. Medicare Baseline: 2.35x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Jersey Shore University Medical Center is $297. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $169. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 2.35x the Medicare baseline. Located in 1945 Rte 33, Neptune, NJ.

Cash / Self-Pay

$169

Average discount available for prompt cash payment at this facility.

Insurance Median

$297

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: $169 (134%)

Insurance Median: $297 (235%)

Cash: $169 (134% of Medicare)

Ins. Median: $297 (235% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 235% of the Medicare baseline (a markup of 135%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$64 - $235	51%
Amerihealth	$117 - $119	93%
UnitedHealthcare	$135 - $297	107%
Aetna	$139 - $656	110%
Clover	$151	120%
Amerigroup	$169	134%
Vaccn	$169	134%
Wellcare	$169	134%
United Community/Americhoice	$178	141%
Blue Cross Blue Shield	$194	154%
Seoul Medical Group	$194	154%
Oxford	$297	235%
Cigna	$342 - $670	271%
Horizon	$606 - $838	480%
Beacon	$628	497%
Bergen Risk	$628	497%
Qualcare	$651 - $761	516%
Activecare First McO	$712	564%
Multiplan - PHCS	$712	564%
Brighton Health Plan	$754	597%

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 $169.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77067.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Jersey Shore University Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77067.
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.