CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Northern Louisiana Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $609
  • Cash Discount Price: $372
  • vs. Medicare Baseline: 4.82x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Northern Louisiana Medical Center is $609. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $372. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 4.82x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$372

Average discount available for prompt cash payment at this facility.

Insurance Median
$609

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: $372 (295%)
Insurance Median: $609 (482%)
Cash: $372 (295% of Medicare)
Ins. Median: $609 (482% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 482% of the Medicare baseline (a markup of 382%). 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 $51 - $407 40%
Champus $90 71%
Champva $90 71%
Tricare $90 - $110 71%
Aetna $97 - $406 77%
Blue Cross Blue Shield $97 - $177 77%
Medicaid / KanCare $97 - $677 77%
Humana $106 - $112 84%
Medicare (plans) $112 89%
Mutual Of Omaha $112 89%
Va $112 89%
Vantage Advantage $112 89%
Veterans Evaluation Svcs $112 89%
First Health $127 - $575 101%
Gulf South Services $146 116%
Vantage Health Plan Ppaca $213 169%
Vantage Health Plan $224 177%
Golden Rule Ins $253 - $407 200%
Verity Healthnet $332 263%
Cigna $338 268%
Kaiser Permanente $338 268%
Gilsbar $372 295%
Self Pay $372 295%
Geha $542 - $643 429%
Multiplan $575 455%
Phcs $575 455%
Work Comp City Of Ruston $609 482%
Work Comp First Health $609 482%
Work Comp Nlmc Emp $609 482%
Workers Compensation $609 482%
Aarp $677 536%
Aflc American Family Life $677 536%
American Life Accident $677 536%
Apwu Health Plan $677 536%
Bankers Life And Casualty $677 536%
Benefit Trust Life $677 536%
Crime Victims Compensatio $677 536%
Equitable $677 536%
Fox Everett Inc $677 536%
Gmp Employers Retiree Tru $677 536%
Gsu Athletics $677 536%
Guarantee Trust Life Ins $677 536%
Healthfirst Tpa $677 536%
Hospice Of Caring Hearts $677 536%
Ima Insurance $677 536%
Industrial Accounts $677 536%
Liberty Healthshare $677 536%
Liberty Mutual Group $677 536%
Lifecare Specialty Hosp $677 536%
Lin Parish Detention $677 536%
Lincoln Kidney Center $677 536%
Ltu Athletics $677 536%
Ltu Student Ins Bollinger $677 536%
Mcr American Hlth Adv $677 536%
Misc Commercial $677 536%
Mva Insurance Payors $677 536%
Nalc Health Benefit Plan $677 536%
Nalc Natl Assoc Ltr Carri $677 536%
Newera $677 536%
Nlmc Community Services $677 536%
Physicians Mutual Ins $677 536%
Premier Hospice $677 536%
Principal Mutual Life Ins $677 536%
Protective Life Ins $677 536%
Ruston Regional Specialty $677 536%
Specialty Hosp Of Winnfie $677 536%
State Farm Insurance $677 536%
State Mutual Ins $677 536%
Sterling Investors Life $677 536%
The Hartford $677 536%
Union Bankers Insurance C $677 536%
Union Fidelity Life Ins $677 536%
United American $677 536%
United Teachers Ins $677 536%
Us Dept Of Labor $677 536%
Washington National Ins $677 536%

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