CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Chsli St Joseph Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $288
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.83x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Chsli St Joseph Hospital is $288. 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 1.83x the Medicare baseline. Located in 4295 Hempstead Turnpike, Bethpage, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$288

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: $288 (183%)
Ins. Median: $288 (183% 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
Affinity Health Plan $98 - $220 62%
Centerlight Healthcare $98 62%
Elderplan Inc. $98 62%
Emblem Health $98 - $324 62%
Fidelis Care New York $98 - $220 62%
Health First $98 - $220 62%
Health Plus $98 - $220 62%
Independent Health $98 62%
Medicaid / KanCare $98 62%
Mvp Health Plans $98 - $360 62%
Senior Whole Health $98 62%
UnitedHealthcare $98 - $443 62%
Local 1199 $143 91%
Us Family Health Plan $165 105%
Centers Plan For Healthy Living $216 138%
Aetna $253 - $360 161%
Surest $263 168%
Liberty Health $288 183%
Zadroga $292 186%
Oscar Health $295 188%
Mail Handlers Benefit Plan $301 192%
Meritain Health $301 192%
Nippon Life Insurance Company Of America $301 192%
Salvation Army $301 192%
American Plan Administrators $324 206%
Amerihealth Administrators $324 206%
Benefit Services $324 206%
Ghi Cbp Ny City Employee Alternate $324 206%
International Benefit Administrator $324 206%
Ultra Benefits Inc. $324 206%
Blue Cross Blue Shield $337 - $443 215%
Apwu $360 229%
Centivo $360 - $461 229%
Cigna $360 - $467 229%
Daniel H Cook $360 229%
Nalc $360 229%
Samba $360 229%
Self Pay $443 282%
Brighton $461 - $661 294%
Allied Wellfare Fund $467 297%
American Group Administrators $467 297%
Bakery & Confectionery Union $467 297%
Comprehensive Benefits Consultant $467 297%
Guardian Life Insurance Company Of America $467 297%
Maloney And Assoc $467 297%
Multiplan $467 297%
Performax $467 297%
Phcs $467 297%
Pomco $467 297%
Tpa Inc $467 297%
Unicare $467 297%
United Employees Health Plan $467 297%
Longevity Health Plan $575 366%
Galaxy $647 412%
Three Rivers Provider Network $647 412%
Aither Health $719 458%
Alpha Care $719 458%
Dentaquest $719 458%
Veterans Affairs $719 458%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4295 Hempstead Turnpike, Bethpage, NY 11714
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals