CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Jamaica Hospital Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $57
  • Cash Discount Price: $285
  • vs. Medicare Baseline: 0.36x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Jamaica Hospital Medical Center is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $285. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.36x the Medicare baseline. Located in 89Th Avenue and Van Wyck Expressway, Jamaica, NY.
Cash / Self-Pay
$285

Average discount available for prompt cash payment at this facility.

Insurance Median
$57

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: $285 (182%)
Insurance Median: $57 (36%)
Cash: $285 (182% of Medicare)
Ins. Median: $57 (36% 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
Healthfirst $46 - $52 29%
Fidelis $49 - $52 31%
Aetna $52 - $63 33%
Beacon Health Strategies $52 33%
Centerlight Healthcare $52 33%
Empire $52 - $117 33%
Ghi $52 - $122 33%
Hip $52 - $157 33%
Metroplus $52 - $57 33%
UnitedHealthcare $52 - $121 33%
Elderplan $53 34%
Vns $53 34%
Wellcare Of Ny $54 34%
Humana $55 35%
Senior Whole Health $55 35%
Centers Plan For Healthy Living $57 36%
Hamaspik Choice $59 38%
Magnacare $59 38%
Oscar $72 46%
Emblemhealth $85 54%
Empire Blue Priority $99 63%
1999 National Benefit Fund $143 91%
World Trade Center Program $210 - $293 134%
Villagecaremax $403 257%
Hotel Trades Council $1,912 1218%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 89Th Avenue and Van Wyck Expressway, Jamaica, NY 11418
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals