CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Essentia Health Ada

Billing Code: 77066 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$153

about 1.0× the $157 Medicare rate · typically $101–$355

modeled estimate · not a bill or quote

What this hospital charges insurers

$112

Below the fair price — a good deal

about $41 under the fair price · 0.7× Medicare

Medicare pays $157 Fair price $153 This hospital $112 Cash price $400 Hospital's list price $541

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Highest price of the 9 MN hospitals we have prices for — worth calling around.

Cheapest $53 Priciest $112

Black dot = this hospital, among the 9 MN hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Diagnostic mammogram (both breasts) is about $153 (about 1.0× the $157 Medicare rate). Essentia Health Ada charges insurers about $112, or about $400 in cash — below the fair price — a good deal. Located in Ada, MN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$260 - $490	166%
Blue Cross Blue Shieldmajor	$260 - $472	166%
Aetnamajor	$460	293%
Cignamajor	$360	229%
HealthPartners	$210 - $360	134%
Medica	$215 - $487	137%
Sanford Health Plan	$232 - $244	148%
Security Health Plan	$260	166%
UCare	$260 - $356	166%
+ 12 smaller / regional plans	$111 - $471

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 400), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77066.

Insurance Before you use insurance

Call your insurance company to confirm Essentia Health Ada is in-network.
Ask your insurer whether prior approval is required for CPT code 77066.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Essentia Health Ada

Compare: Diagnostic mammogram (both breasts) at other MN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.