CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: North Oaks Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $80
Cash Discount Price: $196
vs. Medicare Baseline: 0.63x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at North Oaks Medical Center is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $196. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.63x the Medicare baseline. Located in 15790 Paul Vega Md Drive, Hammond, LA.

Cash / Self-Pay

$196

Average discount available for prompt cash payment at this facility.

Insurance Median

$80

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: $196 (155%)

Insurance Median: $80 (63%)

Cash: $196 (155% of Medicare)

Ins. Median: $80 (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
Aetna	$38 - $453	30%
Humana	$38 - $400	30%
Mco Hb	$38	30%
Mco Lacare Am	$38	30%
Mco Lhc	$38	30%
Medicaid / KanCare	$38	30%
UnitedHealthcare	$38 - $256	30%
Allwell	$80	63%
Blue Advantage	$80	63%
Champva	$80	63%
Healthy Blue Dual Advantage	$80	63%
Peoples Health	$80	63%
Tricare	$80	63%
Vantage 65	$80	63%
Veterans Administration	$80	63%
Wellcare	$80	63%
Blue Cross Blue Shield	$193 - $196	153%
Coventry	$346	274%
Verity Healthnet	$346	274%
Ppoplus Llc	$373	295%
Multiplan	$400	317%
Cigna	$421	333%

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 $196.
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 North Oaks Medical Center 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.