CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Queens Hospital Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $180
  • Cash Discount Price: $211
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Queens Hospital Center is $180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $211. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.15x the Medicare baseline. Located in 82-68 164Th Street, Jamaica, NY.
Cash / Self-Pay
$211

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
$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)
Cash / Self-Pay: $211 (134%)
Insurance Median: $180 (115%)
Cash: $211 (134% of Medicare)
Ins. Median: $180 (115% 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 $40 - $394 25%
Amidacare $50 - $180 32%
Emblem $50 - $237 32%
Wellcare $54 - $194 34%
Metroplus $64 - $394 41%
Fidelis $72 - $394 46%
Oscar $75 - $270 48%
Blue Cross Blue Shield $153 - $483 97%
Affinity $158 - $394 101%
Oxford $172 - $362 110%
United $172 - $483 110%
Carelon $175 - $392 111%
Senior Whole Health $175 111%
United Behavioral Health $175 - $193 111%
Carelon (Amida Care) $179 114%
Vnsny $179 - $513 114%
Centerlight $180 - $302 115%
Elderplan $180 - $392 115%
Centers Plan For Healthy Living $187 119%
Hamaspik $189 120%
Cigna $271 - $453 173%
Local 1199 $382 - $513 243%
Magnacare $453 289%
Multiplan $483 308%
Villagecare Max $513 327%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 82-68 164Th Street, Jamaica, NY 11432
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals