CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Rapides Regional Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $207
Cash Discount Price: $1,222
vs. Medicare Baseline: 1.64x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Rapides Regional Medical Center is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,222. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.64x the Medicare baseline. Located in 211 4Th Street, Alexandria, LA.

Cash / Self-Pay

$1,222

Average discount available for prompt cash payment at this facility.

Insurance Median

$207

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: $1,222 (968%)

Insurance Median: $207 (164%)

Cash: $1,222 (968% of Medicare)

Ins. Median: $207 (164% 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
Humana	$77 - $111	61%
Triwest Healthcare Alliance	$79	63%
Vantage Health Plan	$80 - $212	63%
Aetna	$81 - $460	64%
Blue Cross Blue Shield	$81 - $190	64%
Devoted Health	$81	64%
United	$81 - $330	64%
United Va Ccn	$81	64%
Dignity Care Corporation	$83	66%
Wellcare	$85	67%
Medical Development International	$93	74%
Universal Healthcare	$97	77%
Allegiance Health Management	$145	115%
Verity	$292 - $442	231%
Ppo Plus	$369 - $560	292%
Louisiana Workers Compensation Corporation	$476 - $721	377%
Gilsbar 360	$515 - $780	408%
Multiplan	$527 - $855	417%
Dma Regional Ppo	$680 - $1,031	539%
Employers Health Network	$680 - $1,031	539%
First Health	$680 - $1,031	539%
Healthsouth Corporation	$680 - $1,031	539%
Plan Vista Solutions (Nppn)	$758 - $1,148	600%
Bestcomp	$787 - $1,193	623%

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 $1,222.
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 Rapides Regional 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.