CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Jacobi Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $190
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.50x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Jacobi Medical Center is $190. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.50x the Medicare baseline. Located in 1400 Pelham Parkway South, Bronx, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$190

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%)
Insurance Median: $190 (150%)
Ins. Median: $190 (150% 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
Aetna $28 - $1,131 22%
Healthfirst $32 - $419 25%
Amidacare $40 - $186 32%
Emblem $40 - $393 32%
Wellcare $43 - $295 34%
Metroplus $50 - $419 40%
Fidelis $57 - $419 45%
Oscar $59 - $270 47%
Blue Cross Blue Shield $83 - $419 66%
Oxford $142 - $295 112%
United $142 - $393 112%
Carelon $186 - $319 147%
Senior Whole Health $186 147%
United Behavioral Health $186 - $205 147%
Affinity $190 - $419 150%
Carelon (Amida Care) $190 150%
Vnsny $190 - $417 150%
Cigna $223 - $368 177%
Centerlight $245 194%
Elderplan $319 253%
Magnacare $368 291%
Multiplan $393 311%
Local 1199 $417 330%
Villagecare Max $417 330%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 Pelham Parkway South, Bronx, NY 10461
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals