CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Perham Health

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $162
Cash Discount Price: $293
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Perham Health is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $293. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.03x the Medicare baseline. Located in 1000 Coney Street West, Perham, MN.

Cash / Self-Pay

$293

Average discount available for prompt cash payment at this facility.

Insurance Median

$162

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: $293 (187%)

Insurance Median: $162 (103%)

Cash: $293 (187% of Medicare)

Ins. Median: $162 (103% 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
Blue Cross Blue Shield	$125 - $304	80%
Health Partners Mcr Adv	$153	97%
Humana	$153	97%
Medica Mcr Adv	$153	97%
Medicare (plans)	$153 - $170	97%
Ucare Mn Senior Health Options	$153	97%
UnitedHealthcare	$158 - $351	101%
Ucare Mn Special Needs Basic Care Dual	$161	103%
Medicaid / KanCare	$162	103%
Ucare Mn Medical Assistance	$162	103%
Ucare Mn Minnesota Care	$162	103%
Ucare Mn Senior Care Plus	$162	103%
Ucare Mn Special Needs Basic Care	$162	103%
Medica Mcaid Mn Care	$165	105%
Medica Mn (Msho)	$185	118%
Ucare Individual And Family Plan-All Other Plans	$186	118%
Medica Mn Senior Hp/Outside Mn	$205	131%
Health Partners Minnesota Care	$225	143%
Medica Commercial-All Other Plans	$329	210%
Preferred One (Pchp, Pic, Pas)-All Other Plans	$338	215%
Health Partners-All Plans	$369	235%
Preferred One (Ppo)	$382	243%
Sanford Health Plan-All Plans	$382	243%

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 $293.
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 Perham Health 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.