CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Good Samaritan Hospital Medical Center

Billing Code: 77067 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$119
about 0.9× the $126 Medicare rate · typically $71–$228
modeled estimate · not a bill or quote
What this hospital charges insurers
$217
Well above the fair price
about $98 over the fair price · 1.7× Medicare
Medicare pays $126 Fair price $119 This hospital $217 Hospital's list price $781

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $34 Priciest $217

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Screening mammogram (both breasts) is about $119 (about 0.9× the $126 Medicare rate). Good Samaritan Hospital Medical Center charges insurers about $217 — well above the fair price. Located in West Islip, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $119. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $98 - $508 78%
Blue Cross Blue Shieldmajor $278 - $367 220%
Aetnamajor $209 - $664 166%
Cignamajor $390 - $508 309%
AmeriHealth $351 278%
Fidelis Care $98 - $220 78%
Independent Health $98 78%
MVP Health Care $98 - $390 78%
Oscar Health $320 253%
UniCare $508 402%
+ 37 smaller / regional plans $98 - $781
Government programs also on file: Medicaid, Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1000 Montauk Highway, West Islip, NY 11795
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals