CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Sanford Clear Lake Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $500
Cash Discount Price: $487
vs. Medicare Baseline: 3.96x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Sanford Clear Lake Medical Center is $500. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $487. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 3.96x the Medicare baseline. Located in 701 Third Avenue South, Clear Lake, SD.

Cash / Self-Pay

$487

Average discount available for prompt cash payment at this facility.

Insurance Median

$500

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: $487 (386%)

Insurance Median: $500 (396%)

Cash: $487 (386% of Medicare)

Ins. Median: $500 (396% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 396% of the Medicare baseline (a markup of 296%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Sanford Health Plan Align	$312	247%
Blue Cross Blue Shield	$330	261%
Security Health Plan	$335	265%
Ucare	$336 - $535	266%
Wellmark Sd	$336	266%
Aetna	$339 - $529	269%
Health Partners	$339 - $457	269%
Medicare (plans)	$339	269%
UnitedHealthcare	$339 - $509	269%
Primewest	$345	273%
Sanford Health Plan	$422 - $566	334%
Medica	$502 - $537	398%
Wellmark	$524 - $530	415%
Cigna	$548	434%
First Choice Health Network	$548	434%
Healthez	$548	434%
Multiplan	$548	434%

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 $487.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77067.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sanford Clear Lake Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77067.
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.