CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Ochsner University Hospital and Clinics

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $92
Cash Discount Price: $120
vs. Medicare Baseline: 0.59x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Ochsner University Hospital and Clinics is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.59x the Medicare baseline. Located in 2390 West Congress, Lafayette, LA.

Cash / Self-Pay

$120

Average discount available for prompt cash payment at this facility.

Insurance Median

$92

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: $120 (76%)

Insurance Median: $92 (59%)

Cash: $120 (76% of Medicare)

Ins. Median: $92 (59% 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
Cigna	$33 - $417	21%
Verity Commercial And First Choice Network	$38 - $162	24%
Aetna	$44 - $253	28%
Blue Cross Blue Shield	$44 - $177	28%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$44 - $96	28%
Medicare (plans)	$44 - $96	28%
Ochsner Health Plan	$44 - $96	28%
UnitedHealthcare	$44 - $263	28%
Wellcare Of Louisiana	$44 - $100	28%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$45 - $98	29%
Tricare	$45 - $144	29%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$47 - $92	30%
Healthy Blue (Healthy Louisiana)	$47 - $92	30%
Humana	$47 - $92	30%
Louisiana Healthcare Connections (Healthy Louisiana)	$47 - $92	30%
Zelis	$65 - $221	41%

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 $120.
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 University Hospital and Clinics 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.