CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Elmhurst Hospital Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $180
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Elmhurst Hospital Center is $180. 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 $156.98, this hospital’s rate is 1.15x the Medicare baseline. Located in 79-01 Broadway, Elmhurst, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$180

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%)
Insurance Median: $180 (115%)
Ins. Median: $180 (115% 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
Aetna $37 - $1,131 24%
Healthfirst $40 - $362 25%
Amidacare $50 - $180 32%
Emblem $50 - $217 32%
Wellcare $54 - $194 34%
Metroplus $64 - $362 41%
Fidelis $72 - $362 46%
Oscar $75 - $270 48%
Blue Cross Blue Shield $161 - $483 103%
Carelon $161 - $392 103%
Senior Whole Health $161 - $211 103%
United $161 - $483 103%
United Behavioral Health $161 - $177 103%
Affinity $164 - $362 104%
Carelon (Amida Care) $164 104%
Vnsny $164 - $513 104%
Oxford $172 - $362 110%
Cigna $271 - $453 173%
Centerlight $302 192%
Elderplan $392 250%
Magnacare $453 289%
Multiplan $483 308%
Local 1199 $513 327%
Villagecare Max $513 327%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals