CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Memorial Hospital for Cancer and Allied Diseases

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $302
Cash Discount Price: $383
vs. Medicare Baseline: 1.92x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Memorial Hospital for Cancer and Allied Diseases is $302. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $383. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.92x the Medicare baseline. Located in 1275 York Ave, New York, NY.

Cash / Self-Pay

$383

Average discount available for prompt cash payment at this facility.

Insurance Median

$302

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: $383 (244%)

Insurance Median: $302 (192%)

Cash: $383 (244% of Medicare)

Ins. Median: $302 (192% 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	$50 - $769	32%
Fidelis	$50 - $392	32%
Healthfirst	$50 - $843	32%
Metroplus	$50 - $913	32%
Emblem	$127 - $1,085	81%
Oxford	$176 - $745	112%
Magnacare	$184 - $1,124	117%
Urn	$199 - $998	127%
6 Degrees Health	$204 - $1,096	130%
UnitedHealthcare	$223 - $782	142%
Cigna	$224 - $1,071	143%
Multiplan	$230 - $1,264	147%
Empire	$236 - $1,880	150%

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 $383.
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 Memorial Hospital for Cancer and Allied Diseases 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.