CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Nassau University Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $137
Cash Discount Price: $466
vs. Medicare Baseline: 0.87x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Nassau University Medical Center is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $466. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.87x the Medicare baseline. Located in 2201 Hempstead Turnpike, East Meadow, NY.

Cash / Self-Pay

$466

Average discount available for prompt cash payment at this facility.

Insurance Median

$137

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: $466 (297%)

Insurance Median: $137 (87%)

Cash: $466 (297% of Medicare)

Ins. Median: $137 (87% 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.

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
Aetna	$40 - $482	25%
Blue Cross Blue Shield	$43 - $685	27%
Molina Healthcare (Fka Affinity)	$43 - $154	27%
Centers Plan For Healthy Living	$51 - $181	32%
Fidelis Care	$51 - $286	32%
Emblemhealth	$89 - $317	57%
UnitedHealthcare	$91 - $201	58%
Humana	$103 - $182	66%
Cigna	$166 - $171	106%
1199Seiu National Benefit Funds	$399 - $411	254%
Magnacare	$499 - $514	318%

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 $466.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Nassau University Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
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.