CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Jamaica Hospital Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $43
Cash Discount Price: $178
vs. Medicare Baseline: 0.34x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Jamaica Hospital Medical Center is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.34x the Medicare baseline. Located in 89Th Avenue and Van Wyck Expressway, Jamaica, NY.

Cash / Self-Pay

$178

Average discount available for prompt cash payment at this facility.

Insurance Median

$43

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: $178 (141%)

Insurance Median: $43 (34%)

Cash: $178 (141% of Medicare)

Ins. Median: $43 (34% 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.

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
Healthfirst	$35 - $39	28%
Fidelis	$37 - $39	29%
Aetna	$39 - $47	31%
Beacon Health Strategies	$39	31%
Centerlight Healthcare	$39	31%
Empire	$39 - $88	31%
Ghi	$39 - $101	31%
Hip	$39 - $119	31%
Metroplus	$39 - $43	31%
UnitedHealthcare	$39 - $121	31%
Elderplan	$40	32%
Vns	$40	32%
Wellcare Of Ny	$40	32%
Humana	$41	32%
Senior Whole Health	$41	32%
Centers Plan For Healthy Living	$43	34%
Hamaspik Choice	$45	36%
Magnacare	$45	36%
Oscar	$54	43%
Emblemhealth	$64	51%
Empire Blue Priority	$75	59%
1999 National Benefit Fund	$118	93%
World Trade Center Program	$174 - $238	138%
Villagecaremax	$403	319%
Hotel Trades Council	$1,912	1514%

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 $178.
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 Jamaica Hospital 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.