CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Essentia Health Fosston

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $271
Cash Discount Price: $400
vs. Medicare Baseline: 1.73x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Essentia Health Fosston is $271. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $400. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.73x the Medicare baseline. Located in 900 Hilligoss Boulevard Se, Fosston, MN.

Cash / Self-Pay

$400

Average discount available for prompt cash payment at this facility.

Insurance Median

$271

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: $400 (255%)

Insurance Median: $271 (173%)

Cash: $400 (255% of Medicare)

Ins. Median: $271 (173% 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
Itasca Med Care	$111	71%
Primewest	$114	73%
Healthpartners Care Pmap	$210	134%
Medica Access	$215	137%
Sanford Health Plan	$232 - $244	148%
Advocare/Security Health	$270	172%
Blue Cross Blue Shield	$270 - $472	172%
Freedom Blue Ppo	$270	172%
Healthpartners Care Msho / Mcr Adv	$270	172%
Imcare Msho Pcc Prime	$270	172%
Imcare Msho Ref Req	$270	172%
Medica Advantage Solutions	$270	172%
Medica Msho/Dual Solutions	$270	172%
Medica Prime Solution Group	$270	172%
Medicare (plans)	$270	172%
Nd Va Administration	$270	172%
Platinum Blue/Vantage Blue	$270	172%
Primewest Msho	$270	172%
Secure Blue Msho	$270	172%
Ubh Cost Plan	$270	172%
Ubh Msho	$270	172%
Ucare Msho	$270	172%
UnitedHealthcare	$270 - $490	172%
Healthpartners	$329 - $360	210%
Ucare	$356	227%
Cigna	$360	229%
Healthpartners Pcc Prime	$360	229%
Wea	$390 - $417	248%
America'S Ppo	$419	267%
Medica	$450 - $473	287%
Medica Uplan	$450	287%
Wps	$454	289%
Aetna	$460	293%
Blue Plus Pmap Pcc Prime	$471	300%
Medica Choice	$487	310%

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 $400.
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 Essentia Health Fosston 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.