CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Lakewood Health System

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $97
Cash Discount Price: $113
vs. Medicare Baseline: 0.62x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Lakewood Health System is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.62x the Medicare baseline. Located in 49725 County Road 83, Staples, MN.

Cash / Self-Pay

$113

Average discount available for prompt cash payment at this facility.

Insurance Median

$97

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: $113 (72%)

Insurance Median: $97 (62%)

Cash: $113 (72% of Medicare)

Ins. Median: $97 (62% 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
Ucare Msho/Special Needs	$31 - $100	20%
Blue Cross Blue Shield	$45 - $179	29%
Humana	$45 - $98	29%
Ucare Mcr Adv	$45 - $100	29%
UnitedHealthcare	$45 - $216	29%
Medica Msho/Mcr Adv	$47 - $97	30%
Health Partners - All Plans	$71 - $228	45%
Ucare Individual/Family - All Other Plans	$73 - $112	47%
Medica Choice Care	$80 - $119	51%
Medica Choice/Focus/Ifb/Mhps - All Other Plans	$80 - $217	51%
Preferred One Hmo	$90 - $231	57%
Preferred One Ppo - All Other Plans	$96 - $231	61%

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 $113.
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 Lakewood Health System 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.