CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Northern Louisiana Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $697
  • Cash Discount Price: $426
  • vs. Medicare Baseline: 4.44x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Northern Louisiana Medical Center is $697. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $426. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 4.44x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$426

Average discount available for prompt cash payment at this facility.

Insurance Median
$697

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: $426 (271%)
Insurance Median: $697 (444%)
Cash: $426 (271% of Medicare)
Ins. Median: $697 (444% 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 444% of the Medicare baseline (a markup of 344%). 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
UnitedHealthcare $58 - $465 37%
Aetna $111 - $464 71%
Blue Cross Blue Shield $111 - $214 71%
Champus $111 71%
Champva $111 71%
Medicaid / KanCare $111 - $774 71%
Tricare $111 - $136 71%
Humana $122 - $138 78%
Medicare (plans) $138 88%
Mutual Of Omaha $138 88%
Va $138 88%
Vantage Advantage $138 88%
Veterans Evaluation Svcs $138 88%
First Health $153 - $658 97%
Gulf South Services $180 115%
Vantage Health Plan Ppaca $263 168%
Vantage Health Plan $277 176%
Golden Rule Ins $289 - $465 184%
Verity Healthnet $379 241%
Cigna $387 247%
Kaiser Permanente $387 247%
Gilsbar $426 271%
Self Pay $426 271%
Geha $619 - $735 394%
Multiplan $658 419%
Phcs $658 419%
Work Comp City Of Ruston $697 444%
Work Comp First Health $697 444%
Work Comp Nlmc Emp $697 444%
Workers Compensation $697 444%
Aarp $774 493%
Aflc American Family Life $774 493%
American Life Accident $774 493%
Apwu Health Plan $774 493%
Bankers Life And Casualty $774 493%
Benefit Trust Life $774 493%
Crime Victims Compensatio $774 493%
Equitable $774 493%
Fox Everett Inc $774 493%
Gmp Employers Retiree Tru $774 493%
Gsu Athletics $774 493%
Guarantee Trust Life Ins $774 493%
Healthfirst Tpa $774 493%
Hospice Of Caring Hearts $774 493%
Ima Insurance $774 493%
Industrial Accounts $774 493%
Liberty Healthshare $774 493%
Liberty Mutual Group $774 493%
Lifecare Specialty Hosp $774 493%
Lin Parish Detention $774 493%
Lincoln Kidney Center $774 493%
Ltu Athletics $774 493%
Ltu Student Ins Bollinger $774 493%
Mcr American Hlth Adv $774 493%
Misc Commercial $774 493%
Mva Insurance Payors $774 493%
Nalc Health Benefit Plan $774 493%
Nalc Natl Assoc Ltr Carri $774 493%
Newera $774 493%
Nlmc Community Services $774 493%
Physicians Mutual Ins $774 493%
Premier Hospice $774 493%
Principal Mutual Life Ins $774 493%
Protective Life Ins $774 493%
Ruston Regional Specialty $774 493%
Specialty Hosp Of Winnfie $774 493%
State Farm Insurance $774 493%
State Mutual Ins $774 493%
Sterling Investors Life $774 493%
The Hartford $774 493%
Union Bankers Insurance C $774 493%
Union Fidelity Life Ins $774 493%
United American $774 493%
United Teachers Ins $774 493%
Us Dept Of Labor $774 493%
Washington National Ins $774 493%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals