CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: M Health Fairview Southdale Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $153
Cash Discount Price: $231
vs. Medicare Baseline: 0.97x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at M Health Fairview Southdale Hospital is $153. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $231. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.97x the Medicare baseline. Located in 6401 France Avenue South, Edina, MN.

Cash / Self-Pay

$231

Average discount available for prompt cash payment at this facility.

Insurance Median

$153

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%)

Cash / Self-Pay: $231 (147%)

Insurance Median: $153 (97%)

Cash: $231 (147% of Medicare)

Ins. Median: $153 (97% 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.

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
Health Partners	$32 - $1,382	20%
Itasca Medical Care	$32 - $153	20%
Primewest	$32 - $153	20%
South Country Health Alliance	$32 - $153	20%
Ucare	$33 - $425	21%
Medica	$35 - $527	22%
Hennepin Health	$36 - $127	23%
Blue Cross Blue Shield	$37 - $541	24%
Sanford Health Plan	$44 - $339	28%
Security Health Plan	$44 - $432	28%
UnitedHealthcare	$44 - $435	28%
Wellcare	$44 - $153	28%
America'S Ppo	$128 - $415	82%
First Health	$139 - $472	89%
Multiplan	$144 - $490	92%
Private Healthcare Systems	$144 - $490	92%
Wisconsin Physician Services	$152 - $518	97%

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 $231.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm M Health Fairview Southdale Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
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.