CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Kings County Hospital Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $180
  • Cash Discount Price: $171
  • vs. Medicare Baseline: 1.43x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Kings County Hospital Center is $180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $171. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.43x the Medicare baseline. Located in 451 Clarkson Avenue, Brooklyn, NY.
Cash / Self-Pay
$171

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
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $171 (135%)
Insurance Median: $180 (143%)
Cash: $171 (135% of Medicare)
Ins. Median: $180 (143% 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 - $404 25%
Amidacare $40 - $180 32%
Emblem $40 - $393 32%
Wellcare $43 - $295 34%
Metroplus $50 - $404 40%
Fidelis $57 - $404 45%
Oscar $59 - $270 47%
Blue Cross Blue Shield $125 - $404 99%
Affinity $130 - $404 103%
Oxford $142 - $295 112%
United $142 - $393 112%
Centerlight $147 - $245 116%
Elderplan $147 - $319 116%
Centers Plan For Healthy Living $153 121%
Hamaspik $155 123%
Carelon $180 - $319 143%
Senior Whole Health $180 143%
United Behavioral Health $180 - $197 143%
Carelon (Amida Care) $183 145%
Vnsny $183 - $417 145%
Cigna $223 - $368 177%
Local 1199 $313 - $417 248%
Magnacare $368 291%
Multiplan $393 311%
Villagecare Max $417 330%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 451 Clarkson Avenue, Brooklyn, NY 11203
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals