CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Cambridge Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $295
Cash Discount Price: $255
vs. Medicare Baseline: 2.34x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Cambridge Medical Center is $295. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $255. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 2.34x the Medicare baseline. Located in 701 South Dellwood Avenue, Cambridge, MN.

Cash / Self-Pay

$255

Average discount available for prompt cash payment at this facility.

Insurance Median

$295

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%)

Cash / Self-Pay: $255 (202%)

Insurance Median: $295 (234%)

Cash: $255 (202% of Medicare)

Ins. Median: $295 (234% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 234% of the Medicare baseline (a markup of 134%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$70 - $286	55%
Ucare Pmap (A B C D E G N O S U R H)	$77 - $123	61%
Aetna	$87 - $364	69%
Medicare (plans)	$92	73%
Medica	$95 - $245	75%
Scha Msho (D)	$101	80%
Medicaid / KanCare	$103	82%
Hennepin Health	$106	84%
Medica Health System	$110 - $258	87%
UnitedHealthcare	$228	181%
Medica Mhps	$245	194%
Healthpartners	$259 - $414	205%
Medica Ubh (D)	$268 - $514	212%
Health Partners	$282 - $451	223%
Americas Ppo (Araz)(B D N O R S V)	$295 - $472	234%
Americas Ppo (Araz) (B D N H O R S)	$321 - $514	254%
First Health (A C E G H U B D N O R S)	$321 - $514	254%
All Other Contracted Care (A B C D E G H N O R S U)	$382 - $612	303%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $255.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77067.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cambridge Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77067.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.