CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Abbeville General Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $452
  • Cash Discount Price: $308
  • vs. Medicare Baseline: 2.88x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Abbeville General Hospital is $452. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $308. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.88x the Medicare baseline. Located in 118 N Hospital Dr, Abbeville, LA.
Cash / Self-Pay
$308

Average discount available for prompt cash payment at this facility.

Insurance Median
$452

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: $308 (196%)
Insurance Median: $452 (288%)
Cash: $308 (196% of Medicare)
Ins. Median: $452 (288% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 288% of the Medicare baseline (a markup of 188%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Humana $86 - $488 55%
Triwest Healthcare Alliance $91 58%
Aetna $94 - $455 60%
Blue Cross Blue Shield $94 - $204 60%
Healthy Blue $94 60%
People'S Health $94 60%
UnitedHealthcare $94 - $520 60%
Medicare (plans) $96 61%
Sierra Health And Life Insurance $96 61%
Sterling Life Insurance Company $96 61%
Cigna $110 - $322 70%
Magellan Behavioral Health $181 - $202 115%
Vantage Health Plan $202 - $1,170 129%
Self Pay $291 - $325 185%
Office Of Group Benefits $408 - $455 260%
Gilsbar Ppo $437 - $504 278%
Ppo Plus $437 - $488 278%
United Behavioral Health Inc $437 - $488 278%
Verity Healthnet National $437 - $488 278%
American Lifecare (Phcs) $452 - $520 288%
Guardian Resources $466 - $520 297%
Coventry Company $496 - $553 316%
Galaxy Health Network $496 - $553 316%
Usa Managed Care $496 - $553 316%
Health Payors Organization $525 - $585 334%
Miscellaneous Insurance $583 - $650 371%
Wellcare Of Louisiana $583 - $650 371%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 118 N Hospital Dr, Abbeville, LA 70510
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals