CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Essentia Health

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $124
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Essentia Health is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.98x the Medicare baseline. Located in 3000 32Nd Ave South, Fargo, ND.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$124

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%)
Insurance Median: $124 (98%)
Ins. Median: $124 (98% 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
Itasca Med Care $92 73%
Primewest $94 74%
Advocare/Security Health $124 98%
Blue Cross Blue Shield $124 - $252 98%
Freedom Blue Ppo $124 98%
Healthpartners Care Msho / Mcr Adv $124 98%
Imcare Msho Pcc Prime $124 98%
Imcare Msho Ref Req $124 98%
Medica Advantage Solutions $124 98%
Medica Msho/Dual Solutions $124 98%
Medica Prime Solution Group $124 98%
Medicare (plans) $124 98%
Nd Va Administration $124 98%
Platinum Blue/Vantage Blue $124 98%
Primewest Msho $124 98%
Secure Blue Msho $124 98%
Ubh Cost Plan $124 98%
Ubh Msho $124 98%
Ucare Msho $124 98%
UnitedHealthcare $124 98%
Sanford Health Plan $245 - $258 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3000 32Nd Ave South, Fargo, ND 58104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals