CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Maimonides Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $51
  • Cash Discount Price: $459
  • vs. Medicare Baseline: 0.32x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Maimonides Medical Center is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $459. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.32x the Medicare baseline. Located in 4802 Tenth Avenue, Brooklyn, NY.
Cash / Self-Pay
$459

Average discount available for prompt cash payment at this facility.

Insurance Median
$51

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: $459 (292%)
Insurance Median: $51 (32%)
Cash: $459 (292% of Medicare)
Ins. Median: $51 (32% 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
Emblem Health - Hip $16 - $54 10%
Healthfirst $16 - $126 10%
United Community Plan $22 - $142 14%
UnitedHealthcare $22 - $184 14%
Blue Cross Blue Shield $23 - $165 15%
Magnacare $26 - $66 17%
Aetna $29 - $129 18%
Fidelis $40 - $92 25%
Wellcare $40 - $52 25%
Centers Plan For Healthy Living $41 - $76 26%
Elderplan $41 - $53 26%
Emblem Health - Hip Vip $41 - $52 26%
Villagecare Maxx Fida $41 - $51 26%
Cigna $42 - $274 27%
Visiting Nurse Svc Of Ny $43 - $50 27%
Metroplus $47 - $154 30%
Molina $48 - $105 31%
Emblem Health - Ghi $51 - $391 32%
Local 1199 $55 - $143 35%
Centivo $58 37%
Oxford Health Plan $184 117%
Oxford Liberty $184 117%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4802 Tenth Avenue, Brooklyn, NY 11219
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals