CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Ochsner LSU Health Monroe

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $119
Cash Discount Price: $171
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Ochsner LSU Health Monroe is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $171. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.76x the Medicare baseline. Located in 4864 Jackson Street, Monroe, LA.

Cash / Self-Pay

$171

Average discount available for prompt cash payment at this facility.

Insurance Median

$119

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: $171 (109%)

Insurance Median: $119 (76%)

Cash: $171 (109% of Medicare)

Ins. Median: $119 (76% 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
Aetna	$67 - $265	43%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$67 - $119	43%
Healthy Blue (Formerly Amerigroup Louisiana Inc.)	$67 - $119	43%
Humana	$67 - $137	43%
Louisiana Healthcare Connections (Healthy Louisiana)	$67 - $119	43%
UnitedHealthcare	$67 - $257	43%
(Healthy Louisiana) And Healthy Blue Dual Advantage (Hmo-D-Snp)	$96	61%
Blue Cross Blue Shield	$96 - $145	61%
Medicare (plans)	$96	61%
Vantage Health Plan - Commercial	$105	67%
Zelis	$153	97%
Verity Health Network – Lsu First Choice	$176 - $312	112%
Healthcomp Ppo (Formerly Gilsbar 360	$239	152%
Cigna	$249	159%
First Health Network	$274	175%
Multiplan/Phcs/American Lifecare	$293 - $521	187%
Usa Managed Care Network	$314 - $558	200%

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 $171.
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 LSU Health Monroe 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.