CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Atlantic Rehabilitation Institute, LLC

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $222
  • Cash Discount Price: $222
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Atlantic Rehabilitation Institute, LLC is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $222. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.76x the Medicare baseline. Located in 200 Madison Ave, Madison, NJ.
Cash / Self-Pay
$222

Average discount available for prompt cash payment at this facility.

Insurance Median
$222

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: $222 (176%)
Insurance Median: $222 (176%)
Cash: $222 (176% of Medicare)
Ins. Median: $222 (176% 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
Aetna $222 176%
All Savers Cpd $222 176%
Ama Insurance Msg $222 176%
Ambetter / Centene $222 176%
Amerigroup Mgg (Wellpoint As Of 5/1/24) $222 176%
Amerihealth Cpd $222 176%
Amerihealth Mgg $222 176%
Blue Cross Blue Shield $222 176%
Braven Health Cpd $222 176%
Braven Health Mgd $222 176%
Cigna $222 176%
Claim Doc Llc Cpd $222 176%
First Managed Care Wc Cpd $222 176%
Gateway Mgg $222 176%
Medicaid / KanCare $222 176%
Oscar Health Cpd $222 176%
Oxford Health Plan Cpd $222 176%
Oxford Mgg $222 176%
Qualcare Cpd $222 176%
Qualcare Lynx Wc Cpd $222 176%
UnitedHealthcare $222 176%
Upmc For Life Mgg $222 176%
Wellcare Mgg $222 176%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Madison Ave, Madison, NJ 07940
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL