CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Ochsner Medical Center Acute

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $193
  • Cash Discount Price: $103
  • vs. Medicare Baseline: 1.23x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Ochsner Medical Center Acute is $193. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.23x the Medicare baseline. Located in 1516 Jefferson Hwy, New Orleans, LA.
Cash / Self-Pay
$103

Average discount available for prompt cash payment at this facility.

Insurance Median
$193

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: $103 (66%)
Insurance Median: $193 (123%)
Cash: $103 (66% of Medicare)
Ins. Median: $193 (123% 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
Humana $71 - $101 45%
UnitedHealthcare $71 - $263 45%
Healthy Blue (Healthy Louisiana) $72 46%
Louisiana Healthcare Connections (Healthy Louisiana) $72 46%
Aetna $73 - $445 47%
Amerihealth Caritas Louisiana (Healthy Louisiana) $73 47%
Medicaid / KanCare $84 - $89 54%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $101 64%
Blue Cross Blue Shield $101 - $212 64%
Healthy Blue Dual Advantage (Hmo-D-Snp) $101 64%
Medicare (plans) $101 64%
Ochsner Health Plan $101 64%
Pace New Orleans $112 71%
Tricare $129 - $151 82%
Christus Health Exchange Plan $250 159%
Cigna $272 173%
First Health Network $351 224%
Louisiana Workers' Compensation Corporation (Lwcc) $351 224%
Mississippi Physicians Care Network $351 224%
Healthcomp & Personify Health (Formerly Gilsbar) $370 236%
Claritev D/B/A Multiplan/Phcs/American Life Care $374 238%
Zelis $374 238%
Employers Health Network (Ehn) $398 254%
Prime Health Services Ppo $398 254%
Usa Managed Care Network $398 254%
Behavioral Health Systems $421 268%
Evolutions Healthcare $421 268%
Galaxy Health Network Ppo $421 268%
Galaxy Health Network Wc $421 268%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1516 Jefferson Hwy, New Orleans, LA 70121
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals