CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Ochsner LSU Health Monroe

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $85
Cash Discount Price: $123
vs. Medicare Baseline: 0.67x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Ochsner LSU Health Monroe is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.67x the Medicare baseline. Located in 4864 Jackson Street, Monroe, LA.

Cash / Self-Pay

$123

Average discount available for prompt cash payment at this facility.

Insurance Median

$85

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: $123 (97%)

Insurance Median: $85 (67%)

Cash: $123 (97% of Medicare)

Ins. Median: $85 (67% 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.

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	$55 - $220	44%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$55 - $85	44%
Healthy Blue (Formerly Amerigroup Louisiana Inc.)	$55 - $85	44%
Humana	$55 - $110	44%
Louisiana Healthcare Connections (Healthy Louisiana)	$55 - $85	44%
UnitedHealthcare	$55 - $257	44%
(Healthy Louisiana) And Healthy Blue Dual Advantage (Hmo-D-Snp)	$79	63%
Blue Cross Blue Shield	$79 - $107	63%
Medicare (plans)	$79	63%
Vantage Health Plan - Commercial	$87	69%
Zelis	$126	100%
Verity Health Network – Lsu First Choice	$146 - $224	116%
Healthcomp Ppo (Formerly Gilsbar 360	$197	156%
Cigna	$206	163%
First Health Network	$227	180%
Multiplan/Phcs/American Lifecare	$243 - $373	192%
Usa Managed Care Network	$260 - $400	206%

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 $123.
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 Ochsner LSU Health Monroe 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.