CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Bellevue Hospital Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $179
  • Cash Discount Price: $171
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Bellevue Hospital Center is $179. 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 1.42x the Medicare baseline. Located in 462 First Avenue, New York, NY.
Cash / Self-Pay
$171

Average discount available for prompt cash payment at this facility.

Insurance Median
$179

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: $179 (142%)
Cash: $171 (135% of Medicare)
Ins. Median: $179 (142% 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 $31 - $404 25%
Amidacare $39 - $179 31%
Emblem $39 - $393 31%
Wellcare $42 - $295 33%
Metroplus $50 - $404 40%
Fidelis $56 - $404 44%
Oscar $58 - $270 46%
Blue Cross Blue Shield $125 - $404 99%
Affinity $126 - $404 100%
Oxford $142 - $295 112%
United $142 - $393 112%
Centerlight $144 - $245 114%
Elderplan $144 - $319 114%
Centers Plan For Healthy Living $149 118%
Hamaspik $151 - $169 120%
Carelon $179 - $319 142%
Senior Whole Health $179 142%
United Behavioral Health $179 - $197 142%
Carelon (Amida Care) $183 145%
Vnsny $183 - $417 145%
Villagecare Max $205 - $417 162%
Cigna $223 - $368 177%
Local 1199 $305 - $417 242%
Magnacare $368 291%
Multiplan $393 311%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 462 First Avenue, New York, NY 10016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals