CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Ochsner St Mary

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $79
Cash Discount Price: $59
vs. Medicare Baseline: 0.63x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Ochsner St Mary is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.63x the Medicare baseline. Located in 1125 Marguerite Street, Morgan City, LA.

Cash / Self-Pay

$59

Average discount available for prompt cash payment at this facility.

Insurance Median

$79

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: $59 (47%)

Insurance Median: $79 (63%)

Cash: $59 (47% of Medicare)

Ins. Median: $79 (63% 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
Healthy Blue (Healthy Louisiana)	$37	29%
Humana	$37 - $79	29%
Louisiana Healthcare Connections (Healthy Louisiana)	$37	29%
UnitedHealthcare	$37 - $215	29%
Aetna	$38 - $250	30%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$38	30%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$79	63%
Blue Cross Blue Shield	$79 - $109	63%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$79	63%
Medicare (plans)	$79	63%
Ochsner Health Plan	$79	63%
Tricare	$104 - $116	82%
Zelis	$108	86%
Verity Commercial And First Choice Network	$158	125%
Claritev D/B/A Multiplan/Phcs/American Life Care	$170	135%
First Health Network	$196	155%
Healthcomp & Personify Health (Formerly Gilsbar)	$205	162%
Cigna	$222	176%

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 $59.
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 St Mary 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.