CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: St John's Riverside Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $52
Cash Discount Price: $922
vs. Medicare Baseline: 0.33x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at St John's Riverside Hospital is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $922. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.33x the Medicare baseline. Located in 976 North Broadway, Yonkers, NY.

Cash / Self-Pay

$922

Average discount available for prompt cash payment at this facility.

Insurance Median

$52

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: $922 (587%)

Insurance Median: $52 (33%)

Cash: $922 (587% of Medicare)

Ins. Median: $52 (33% 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
Fidelis Essential Plans	$45	29%
Medicaid / KanCare	$45	29%
Fidelis Health Benefit Exchange	$50	32%
Aetna	$52 - $3,783	33%
Centers Plan For Healthy Living	$52	33%
Fidelis	$52	33%
Healthfirst	$52	33%
Hip Health Plan	$52	33%
Magnacare	$52	33%
Medicare (plans)	$52	33%
Mvp	$52	33%
Mvp Bhs	$52	33%
Oscar	$52 - $55	33%
Partners Health Plan	$52	33%
United Behavioral Health Of Ny Ipa	$52	33%
Village Caremax	$52	33%
Wellcare	$52	33%
Metroplus Gold	$55	35%
Emblem Health	$144 - $155	92%
Mvp Individual Exchange.Student Health Plan	$185	118%
UnitedHealthcare	$187	119%
Mvp Commercial	$218	139%
Cigna	$440	280%
Empire Hmo	$580	369%

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 $922.
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 St John's Riverside Hospital 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.