CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Perham Health

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $154
  • Cash Discount Price: $261
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Perham Health is $154. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $261. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.22x the Medicare baseline. Located in 1000 Coney Street West, Perham, MN.
Cash / Self-Pay
$261

Average discount available for prompt cash payment at this facility.

Insurance Median
$154

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: $261 (207%)
Insurance Median: $154 (122%)
Cash: $261 (207% of Medicare)
Ins. Median: $154 (122% 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.

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 $128 - $330 101%
Health Partners Mcr Adv $128 - $146 101%
Humana $128 - $146 101%
Medica Mcr Adv $128 - $146 101%
Medicare (plans) $128 - $162 101%
Ucare Mn Senior Health Options $128 - $146 101%
UnitedHealthcare $131 - $334 104%
Ucare Mn Special Needs Basic Care Dual $134 - $153 106%
Medicaid / KanCare $135 - $154 107%
Ucare Mn Medical Assistance $135 - $154 107%
Ucare Mn Minnesota Care $135 - $154 107%
Ucare Mn Senior Care Plus $135 - $154 107%
Ucare Mn Special Needs Basic Care $135 - $154 107%
Medica Mcaid Mn Care $137 - $157 109%
Medica Mn (Msho) $154 - $176 122%
Ucare Individual And Family Plan-All Other Plans $155 - $177 123%
Medica Mn Senior Hp/Outside Mn $171 - $195 135%
Health Partners Minnesota Care $188 - $214 149%
Medica Commercial-All Other Plans $274 - $313 217%
Preferred One (Pchp, Pic, Pas)-All Other Plans $281 - $321 223%
Health Partners-All Plans $308 - $351 244%
Preferred One (Ppo) $319 - $364 253%
Sanford Health Plan-All Plans $319 - $364 253%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Coney Street West, Perham, MN 56573
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals