CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Metropolitan Hospital Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $175
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Metropolitan Hospital Center is $175. 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 1.11x the Medicare baseline. Located in 1901 First Avenue, New York, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$175

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: $175 (111%)
Ins. Median: $175 (111% 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 $41 - $358 26%
Amidacare $51 - $181 32%
Emblem $51 - $215 32%
Wellcare $55 - $196 35%
Metroplus $64 - $358 41%
Fidelis $73 - $358 47%
Oscar $76 - $272 48%
Blue Cross Blue Shield $159 - $483 101%
Carelon $159 - $392 101%
Senior Whole Health $159 101%
United $159 - $483 101%
United Behavioral Health $159 - $175 101%
Affinity $162 - $358 103%
Carelon (Amida Care) $162 103%
Vnsny $162 - $513 103%
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: 1901 First Avenue, New York, NY 10029
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals