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Package

Mammogram

Package

Mammogram

A mammogram is an X-ray of the breast used to screen for or diagnose breast cancer. It can detect tumors or changes in breast tissue that may not be felt during a physical exam. During the procedure, each breast is gently compressed between two plates for a few seconds while images are taken. This compression can cause brief discomfort, but the procedure is quick and highly effective. The American Cancer Society recommends that women get mammograms every year starting at age 45, with some women starting earlier depending on personal risk factors. Most people can return to their normal routine immediately afterward.

Mount Sinai West

1000 10th Ave, New York, NY 10019
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Nearest station
59 St-Columbus Circle
8 minute walk
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Up to
$855 / Case Rate

A single, all-inclusive pricing methodology for a procedure in health care contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

Mount Sinai West
$855

Without insurance

What goes into a price?

Prices across providers

This provider
$855
Lowest
$106
Highest
$1,012

Self pay or cash prices vary by provider when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts providers charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.

Procedures included in this package

This list includes the services and fees bundled into the Mammogram Standard Service Package (SSP RA010). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.

Code Code Type Description
HCPCS 77067 Base Code Mammogram
HCPCS 77067 Professional Fee Mammogram
HCPCS 77063 Professional Fee Digital breast tomosynthesis bilateral screening examination
RC 0403 Facility Fee Other Imaging Services - Screening mammography
HCPCS 77063 Facility Fee Digital breast tomosynthesis bilateral screening examination

Disclaimer

The NYC Health Department is committed to empowering New York City residents and employees to make informed health care decisions. This tool offers personalized estimates for common health services, providing a clearer picture of potential costs before your visit.

Your final out-of-pocket cost may vary based on your insurance coverage, any discounts, and the specific care you receive. Contact the provider directly to verify your estimate.

Up to
$855 / Case Rate

A single, all-inclusive pricing methodology for a procedure in health care contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

Mount Sinai West

Disclaimer

The NYC Health Department is committed to empowering New York City residents and employees to make informed health care decisions. This tool offers personalized estimates for common health services, providing a clearer picture of potential costs before your visit.

Your final out-of-pocket cost may vary based on your insurance coverage, any discounts, and the specific care you receive. Contact the provider directly to verify your estimate.

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

Turquoise Health has developed SSPs which combine multiple medical services, materials, and fees associated with a health care visit or procedure into a single bundle to offer a more comprehensive estimate. SSPs are designed based on how health care procedures are commonly billed on claims. When discussing estimates with healthcare providers, you can refer to the individual codes listed in the 'Procedures included in this package' section of the tool.

Contact provider to verify your estimate

Have your service name, codes, and payment preference ready. If you’re using insurance, you may be asked for insurance details like your Member or Group ID.

Service Mammogram
Service Codes HCPCS 77067, HCPCS 77063, Revenue Code 0403
Insurance I'm not using insurance
Provider Mount Sinai West
When you contact them, you can say:
"Hi, I'm calling to verify a price for Mammogram I found through NYC Health Department's price estimate tool. Here are the codes I’m looking at: HCPCS 77067, HCPCS 77063, Revenue Code 0403. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"