CMS Price Transparency Data
Diagnostic mammogram (both breasts)
Facility: Avoyelles Hospital
Billing Code: 77066 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77066
- Insurance Median: $421
- Cash Discount Price: $140
- vs. Medicare Baseline: 2.68x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Avoyelles Hospital is $421. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $140. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.68x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$140
Average discount available for prompt cash payment at this facility.
Insurance Median
$421
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: $140 (89%)
Insurance Median: $421 (268%)
Cash: $140 (89% of Medicare)
Ins. Median: $421 (268% 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 268% of the Medicare baseline (a markup of 168%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 | $93 - $265 | 59% |
| Aetna | $97 - $263 | 62% |
| Cigna | $97 - $264 | 62% |
| Correct Cr Int Hlt | $97 | 62% |
| Mcd Amerihealth Caritas | $97 | 62% |
| Mcd Healthy Blue | $97 | 62% |
| Mcd La Hc Conn | $97 | 62% |
| Medicaid / KanCare | $97 | 62% |
| UnitedHealthcare | $97 - $98 | 62% |
| Bankers Life | $98 | 62% |
| Champva | $98 | 62% |
| Mcr Lagniappe | $98 | 62% |
| Medeico Ins Co | $98 | 62% |
| Medicare (plans) | $98 | 62% |
| Mmc Allwell | $98 | 62% |
| Mmc Blue Advantage | $98 | 62% |
| Mmc Healthy Blue Dual Adv | $98 | 62% |
| Mmc Mcr Hmo Miscellaneous | $98 | 62% |
| Mmc Priority Hlth Pffs | $98 | 62% |
| Mmc Vantage Hlth | $98 | 62% |
| Mmc Wellcare | $98 | 62% |
| Mutual Of Omaha | $98 | 62% |
| Neba Inc | $98 | 62% |
| Philadelphia American Lif | $98 | 62% |
| Sentinel Security Life | $98 | 62% |
| Trustmark Health Benefits | $98 - $468 | 62% |
| Tunica Biloxi | $98 - $468 | 62% |
| United Amer Ins | $98 | 62% |
| Veterans Evaluation Serv | $98 | 62% |
| Wps Vacca | $98 | 62% |
| Mcd Ms | $107 | 68% |
| Gulf South Zelis | $128 | 82% |
| Student Assurances | $140 - $468 | 89% |
| Blue Cross Blue Shield | $166 | 106% |
| Ofc Of Grp Bene | $166 | 106% |
| Amer Contl Ins | $175 - $263 | 111% |
| Coventry | $175 - $263 | 111% |
| First Choice Health | $175 - $263 | 111% |
| Meritan Health | $175 - $468 | 111% |
| Ppo Plus Llc | $280 | 178% |
| Zelis Healthcare Bpa | $280 | 178% |
| Gilsbar | $295 | 188% |
| Amerind | $421 | 268% |
| Applied Underwriters | $421 | 268% |
| Sedgwick | $421 | 268% |
| Us Dept Of Labor | $421 | 268% |
| Wc Clms Admin Svcs | $421 | 268% |
| Wc Clms Mgmnt Walmart | $421 | 268% |
| Wc Esis | $421 | 268% |
| Wc Fara | $421 | 268% |
| Wc Gallagher Bassett | $421 | 268% |
| Wc Guide One | $421 | 268% |
| Wc Hartford Med | $421 | 268% |
| Wc Luba | $421 | 268% |
| Wc Lwcc | $421 | 268% |
| Wc Paragon Casino Resort | $421 | 268% |
| Wc Risk Mgmnt | $421 | 268% |
| Wc Stone Trust | $421 | 268% |
| Wc Summit Consulting Hold | $421 | 268% |
| Wc Travelers Ins | $421 | 268% |
| Wc Trs Workers Comp Claim | $421 | 268% |
| Wc Us Dol | $421 | 268% |
| Wc Zurich | $421 | 268% |
| Aarp | $468 | 298% |
| Admin Concepts | $468 | 298% |
| All Saints Hospice | $468 | 298% |
| All State | $468 | 298% |
| Allegiance Health Hospice | $468 | 298% |
| Allied Natl | $468 | 298% |
| Amfirst | $468 | 298% |
| Avoy Parish School Board | $468 | 298% |
| Avoyelles Parish Sheriff | $468 | 298% |
| Bollinger | $468 | 298% |
| Ccmsi | $468 | 298% |
| Central States | $468 | 298% |
| Christus Health Plan | $468 | 298% |
| Compassionate Care Hospic | $468 | 298% |
| Core Source | $468 | 298% |
| Coushatta Hlth Dept | $468 | 298% |
| Ebms | $468 | 298% |
| Federated Ins | $468 | 298% |
| Feedom Life | $468 | 298% |
| Fidelity Standard Life Co | $468 | 298% |
| Fox Everette | $468 | 298% |
| Guarantee Trust | $468 | 298% |
| Heart Of Hospice | $468 | 298% |
| Hos Christus Hospice | $468 | 298% |
| Hos Guardian Hospice Care | $468 | 298% |
| Hos Harbor Hospice Alex | $468 | 298% |
| Hos La Hospice Palliative | $468 | 298% |
| Hos Passages Hospice N. | $468 | 298% |
| Hos St Joseph Hospice | $468 | 298% |
| Hospice Miscellaneous | $468 | 298% |
| Ins Mgmnt Admin | $468 | 298% |
| Ins Tpa | $468 | 298% |
| Liberty Health Share | $468 | 298% |
| Lumico | $468 | 298% |
| Manhattan Life Ins | $468 | 298% |
| Medi Share | $468 | 298% |
| Misc Comm | $468 | 298% |
| Nalc | $468 | 298% |
| New Era Life | $468 | 298% |
| North American | $468 | 298% |
| Phcs | $468 | 298% |
| Physicians Mutual | $468 | 298% |
| Pipeline Ind Bene | $468 | 298% |
| Progressive Auto | $468 | 298% |
| Reliance Standard Life | $468 | 298% |
| Rural Carriers | $468 | 298% |
| Shelter Ins Co | $468 | 298% |
| Sierre Health And Life | $468 | 298% |
| State Farm | $468 | 298% |
| State Mutual | $468 | 298% |
| Sterling Investors | $468 | 298% |
| The Health Plan | $468 | 298% |
| Tribal Hlth Partners | $468 | 298% |
| Tricare | $468 | 298% |
| Uct | $468 | 298% |
| Unified Life | $468 | 298% |
| Usaa Life Ins | $468 | 298% |
| Web-Tpa | $468 | 298% |
| Woodmen Of The World | $468 | 298% |