CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Albany Medical Center Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $120
  • Cash Discount Price: $95
  • vs. Medicare Baseline: 0.76x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Albany Medical Center Hospital is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.76x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$95

Average discount available for prompt cash payment at this facility.

Insurance Median
$120

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: $95 (61%)
Insurance Median: $120 (76%)
Cash: $95 (61% of Medicare)
Ins. Median: $120 (76% 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
Cdphp $30 - $351 19%
Blue Cross Blue Shield $33 - $351 21%
Medicare (plans) $33 - $168 21%
Fidelis $35 - $461 22%
Tricare $38 - $147 24%
Hamaspik $41 - $366 26%
Blue Shield Highmark $42 - $462 27%
UnitedHealthcare $44 - $614 28%
Mvp $45 - $280 29%
Aetna $46 - $473 29%
Medicaid / KanCare $47 - $144 30%
Emblem Health Ghi $49 - $323 31%
Nascentia $49 - $162 31%
Cigna $70 - $280 45%
Nys Department Of Corrections $111 - $365 71%
Empire Plan Nyship $112 - $614 71%
Blue Shield $115 - $292 73%
Multiplan $119 - $653 76%
Nascentia Health Options $225 143%
Emblem $231 - $381 147%
Mvp Essential Plan $335 213%
Mvp Commercial $370 236%
Emblem_Ghi $381 243%
Magnacare $385 245%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals