CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Chsli St Joseph Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $249
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.97x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Chsli St Joseph Hospital is $249. 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 $126.25, this hospital’s rate is 1.97x 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
$249

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Insurance Median: $249 (197%)
Ins. Median: $249 (197% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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 78%
Centerlight Healthcare $98 78%
Elderplan Inc. $98 78%
Emblem Health $98 - $307 78%
Fidelis Care New York $98 - $220 78%
Health First $98 - $220 78%
Health Plus $98 - $220 78%
Independent Health $98 78%
Medicaid / KanCare $98 78%
Mvp Health Plans $98 - $341 78%
Senior Whole Health $98 78%
UnitedHealthcare $98 - $367 78%
Local 1199 $118 93%
Us Family Health Plan $157 124%
Centers Plan For Healthy Living $205 162%
Aetna $209 - $341 166%
Surest $217 172%
Zadroga $237 188%
Mail Handlers Benefit Plan $249 197%
Meritain Health $249 197%
Nippon Life Insurance Company Of America $249 197%
Salvation Army $249 197%
Liberty Health $273 216%
Blue Cross Blue Shield $278 - $367 220%
Oscar Health $280 222%
American Plan Administrators $307 243%
Amerihealth Administrators $307 243%
Benefit Services $307 243%
Ghi Cbp Ny City Employee Alternate $307 243%
International Benefit Administrator $307 243%
Ultra Benefits Inc. $307 243%
Apwu $341 270%
Centivo $341 - $372 270%
Cigna $341 - $443 270%
Daniel H Cook $341 270%
Nalc $341 270%
Samba $341 270%
Self Pay $367 291%
Allied Wellfare Fund $443 351%
American Group Administrators $443 351%
Bakery & Confectionery Union $443 351%
Comprehensive Benefits Consultant $443 351%
Guardian Life Insurance Company Of America $443 351%
Maloney And Assoc $443 351%
Multiplan $443 351%
Performax $443 351%
Phcs $443 351%
Pomco $443 351%
Tpa Inc $443 351%
Unicare $443 351%
United Employees Health Plan $443 351%
Brighton $461 - $627 365%
Longevity Health Plan $546 432%
Galaxy $614 486%
Three Rivers Provider Network $614 486%
Aither Health $682 540%
Alpha Care $682 540%
Dentaquest $682 540%
Veterans Affairs $682 540%

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