CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Garrison Memorial Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $415
  • Cash Discount Price: $353
  • vs. Medicare Baseline: 2.64x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Garrison Memorial Hospital is $415. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $353. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.64x the Medicare baseline. Located in 407 3Rd Ave Se, Garrison, ND.
Cash / Self-Pay
$353

Average discount available for prompt cash payment at this facility.

Insurance Median
$415

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: $353 (225%)
Insurance Median: $415 (264%)
Cash: $353 (225% of Medicare)
Ins. Median: $415 (264% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 264% of the Medicare baseline (a markup of 164%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Humana $238 - $282 152%
Medica $238 - $490 152%
United $238 - $417 152%
Blue Cross Blue Shield $243 - $490 155%
Health Partners $405 - $479 258%
Multiplan $428 - $507 273%
Sanford Health Plan $452 - $535 288%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 407 3Rd Ave Se, Garrison, ND 58540
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals