CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Albany Medical Center Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $102
  • Cash Discount Price: $128
  • vs. Medicare Baseline: 0.81x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Albany Medical Center Hospital is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $128. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.81x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$128

Average discount available for prompt cash payment at this facility.

Insurance Median
$102

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: $128 (101%)
Insurance Median: $102 (81%)
Cash: $128 (101% of Medicare)
Ins. Median: $102 (81% 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
Cdphp $23 - $351 18%
Blue Cross Blue Shield $26 - $351 21%
Medicare (plans) $26 - $137 21%
Fidelis $27 - $463 21%
Tricare $29 - $119 23%
Blue Shield Highmark $32 - $372 25%
Hamaspik $32 - $366 25%
Mvp $34 - $227 27%
UnitedHealthcare $34 - $618 27%
Aetna $36 - $385 29%
Emblem Health Ghi $38 - $262 30%
Medicaid / KanCare $38 - $116 30%
Nascentia $38 - $131 30%
Cigna $54 - $227 43%
Nys Department Of Corrections $84 - $294 67%
Blue Shield $95 - $242 75%
Empire Plan Nyship $113 - $618 90%
Multiplan $120 - $656 95%
Nascentia Health Options $183 145%
Emblem $188 - $309 149%
Mvp Commercial $305 242%
Emblem_Ghi $309 245%
Magnacare $313 248%
Mvp Essential Plan $335 265%

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