CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Ochsner Choctaw General

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $175
Cash Discount Price: $292
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Ochsner Choctaw General is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $292. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.11x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$292

Average discount available for prompt cash payment at this facility.

Insurance Median

$175

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: $292 (186%)

Insurance Median: $175 (111%)

Cash: $292 (186% of Medicare)

Ins. Median: $175 (111% 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
Medicaid / KanCare	$84 - $137	54%
Select Administrative Services Network	$98 - $269	62%
Claritev D/B/A Multiplan/Phcs/American Life Care	$105 - $288	67%
Humana	$112 - $173	71%
Blue Cross Blue Shield	$115 - $156	73%
Zelis	$119 - $288	76%
Cigna	$137 - $271	87%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$137 - $173	87%
Medicare (plans)	$137 - $199	87%
UnitedHealthcare	$137 - $211	87%
Shared Health Mississippi	$144 - $181	92%
Prime Health Services Ppo	$158 - $307	101%
Ambetter / Centene	$175	111%
Prime Health Services Ppo -Workers Comp	$196 - $306	125%
Cor Vel	$198 - $313	126%
Aetna	$240 - $250	153%
Primewell Health Services Commercial Exchange Plan	$257 - $261	164%
Primewell Health Services – Commercial	$257 - $261	164%

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 $292.
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 Ochsner Choctaw General 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.