Screening mammogram (both breasts)
Facility: Hackensack Meridian Mountainside Medical
Billing Code: 77067 (CPT)
- CPT Billing Code: 77067
- Insurance Median: $808
- Cash Discount Price: $121
- vs. Medicare Baseline: 6.40x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 640% of the Medicare baseline (a markup of 540%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Healthscope Benefits [2290] | $100 - $808 | 79% |
| UnitedHealthcare | $100 | 79% |
| Aetna | $145 | 115% |
| Oncology Patient Assistance Programs [2295] | $390 | 309% |
| Medicare (plans) | $390 | 309% |
| Lucent Health [6000] | $390 | 309% |
| Web Tpa [2115] | $390 | 309% |
| Create Flex / Select [3580] | $390 | 309% |
| Worker's Comp [2125] | $390 - $883 | 309% |
| Selecthealth [3740] | $390 | 309% |
| Black Lung [6055] | $390 | 309% |
| Healthcare Highways [2210] | $390 - $808 | 309% |
| Wtc Healthcare Sme Karna [8005] | $390 | 309% |
| First Health [1375] | $712 - $808 | 564% |
| Cigna | $760 | 602% |
| New Era Life Insurance Company [1705] | $808 | 640% |
| Planned Administrators Inc [2360] | $808 | 640% |
| Gilsbar [1425] | $808 | 640% |
| Allied National Global Care [1035] | $808 | 640% |
| Pan American Life Insurance Co [1770] | $808 | 640% |
| PHCS [1780] | $808 | 640% |
| Healthnet [1495] | $808 | 640% |
| Multiplan [1680] | $808 | 640% |
| Hometown Health [2155] | $808 | 640% |
| Healthcost Solutions [2415] | $808 | 640% |
| Resource One Administrators [2815] | $808 | 640% |
| Healthfirst [2395] | $808 | 640% |
| Mutual of Omaha [1685] | $808 | 640% |
| Administrative Concepts [1005] | $808 | 640% |
| Pba [1775] | $808 | 640% |
| Trustmark [2030] | $808 | 640% |
| Universal Fidelity [2085] | $808 | 640% |
| Mayo Clinic Health Solutions [2280] | $808 | 640% |
| Emblem Health [2430] | $883 | 699% |
| Humana | $883 | 699% |
| Blue Cross Blue Shield | $935 | 741% |
| Mva [1690] | $950 | 752% |