CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Essentia Health Virginia

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $238
  • Cash Discount Price: $340
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Essentia Health Virginia is $238. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $340. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.52x the Medicare baseline. Located in 901 9Th Street North, Virginia, MN.
Cash / Self-Pay
$340

Average discount available for prompt cash payment at this facility.

Insurance Median
$238

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: $340 (217%)
Insurance Median: $238 (152%)
Cash: $340 (217% of Medicare)
Ins. Median: $238 (152% 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.

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
Itasca Med Care $111 71%
Primewest $114 73%
Medica Access $125 80%
Advocare/Security Health $155 99%
Blue Cross Blue Shield $155 - $412 99%
Freedom Blue Ppo $155 99%
Healthpartners Care Msho / Mcr Adv $155 99%
Imcare Msho Pcc Prime $155 99%
Imcare Msho Ref Req $155 99%
Medica Advantage Solutions $155 99%
Medica Msho/Dual Solutions $155 99%
Medica Prime Solution Group $155 99%
Medicare (plans) $155 99%
Nd Va Administration $155 99%
Platinum Blue/Vantage Blue $155 99%
Primewest Msho $155 99%
Secure Blue Msho $155 99%
Ubh Cost Plan $155 99%
Ubh Msho $155 99%
Ucare Msho $155 99%
UnitedHealthcare $155 - $477 99%
Healthpartners Care Pmap $216 138%
Sanford Healthplan $232 - $324 148%
Blue Plus Pmap Pcc Prime $255 162%
Medica $345 - $384 220%
Medica Uplan $345 220%
Ucare $357 227%
Healthpartners $387 - $490 247%
Wea $390 - $417 248%
Medica Choice $395 252%
Security Health $417 266%
America'S Ppo $420 268%
Wps $455 290%
Aetna $461 294%
Cigna $490 312%
Healthpartners Pcc Prime $490 312%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 9Th Street North, Virginia, MN 55792
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals