CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: M Health Fairview Ridges Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $124
Cash Discount Price: $132
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at M Health Fairview Ridges Hospital is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $132. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.98x the Medicare baseline. Located in 201 East Nicollet Boulevard, Burnsville, MN.

Cash / Self-Pay

$132

Average discount available for prompt cash payment at this facility.

Insurance Median

$124

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: $132 (105%)

Insurance Median: $124 (98%)

Cash: $132 (105% of Medicare)

Ins. Median: $124 (98% 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.

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	$25 - $1,117	20%
Itasca Medical Care	$25 - $124	20%
Primewest	$25 - $124	20%
South Country Health Alliance	$25 - $124	20%
Ucare	$25 - $344	20%
Medica	$26 - $435	21%
Blue Cross Blue Shield	$28 - $437	22%
Hennepin Health	$28 - $103	22%
Sanford Health Plan	$34 - $276	27%
Security Health Plan	$34 - $352	27%
UnitedHealthcare	$34 - $353	27%
Wellcare	$34 - $124	27%
America'S Ppo	$57 - $338	45%
First Health	$62 - $385	49%
Multiplan	$64 - $399	51%
Private Healthcare Systems	$64 - $399	51%
Wisconsin Physician Services	$68 - $422	54%

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 $132.
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 M Health Fairview Ridges Hospital 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.