CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: North Oaks Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $97
  • Cash Discount Price: $236
  • vs. Medicare Baseline: 0.62x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at North Oaks Medical Center is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $236. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.62x the Medicare baseline. Located in 15790 Paul Vega Md Drive, Hammond, LA.
Cash / Self-Pay
$236

Average discount available for prompt cash payment at this facility.

Insurance Median
$97

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: $236 (150%)
Insurance Median: $97 (62%)
Cash: $236 (150% of Medicare)
Ins. Median: $97 (62% 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.

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
Mco Lhc $43 27%
Aetna $44 - $520 28%
Humana $44 - $459 28%
Mco Hb $44 28%
Mco Lacare Am $44 28%
Medicaid / KanCare $44 28%
UnitedHealthcare $44 - $294 28%
Allwell $97 62%
Blue Advantage $97 62%
Champva $97 62%
Healthy Blue Dual Advantage $97 62%
Peoples Health $97 62%
Tricare $97 62%
Vantage 65 $97 62%
Veterans Administration $97 62%
Wellcare $97 62%
Blue Cross Blue Shield $233 - $236 148%
Coventry $398 254%
Verity Healthnet $398 254%
Ppoplus Llc $428 273%
Multiplan $459 292%
Cigna $483 308%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15790 Paul Vega Md Drive, Hammond, LA 70403
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals