CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Harlem Hospital Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $182
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Harlem Hospital Center is $182. 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 1.16x the Medicare baseline. Located in 506 Lenox Avenue, New York, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$182

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: $182 (116%)
Ins. Median: $182 (116% 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 - $395 25%
Amidacare $50 - $177 32%
Emblem $50 - $237 32%
Wellcare $54 - $191 34%
Metroplus $64 - $395 41%
Fidelis $72 - $395 46%
Oscar $75 - $265 48%
Oxford $172 - $362 110%
Blue Cross Blue Shield $175 - $483 111%
Carelon $175 - $392 111%
Senior Whole Health $175 111%
United $175 - $483 111%
United Behavioral Health $175 - $193 111%
Affinity $179 - $395 114%
Carelon (Amida Care) $179 114%
Vnsny $179 - $513 114%
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: 506 Lenox Avenue, New York, NY 10037
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals