CMS Price Transparency Data
Screening mammogram (both breasts)
Facility: Avoyelles Hospital
Billing Code: 77067 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77067
- Insurance Median: $371
- Cash Discount Price: $124
- vs. Medicare Baseline: 2.94x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Avoyelles Hospital is $371. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 2.94x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$124
Average discount available for prompt cash payment at this facility.
Insurance Median
$371
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: $124 (98%)
Insurance Median: $371 (294%)
Cash: $124 (98% of Medicare)
Ins. Median: $371 (294% 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 294% of the Medicare baseline (a markup of 194%). 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.
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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 | $77 - $234 | 61% |
| All Savers | $80 | 63% |
| Geha | $80 | 63% |
| United Hlth One | $80 | 63% |
| UnitedHealthcare | $80 - $86 | 63% |
| Aetna | $81 - $232 | 64% |
| Bankers Life | $81 | 64% |
| Champva | $81 | 64% |
| Cigna | $81 - $233 | 64% |
| Mcr Lagniappe | $81 | 64% |
| Medeico Ins Co | $81 | 64% |
| Medicare (plans) | $81 | 64% |
| Mmc Allwell | $81 | 64% |
| Mmc Blue Advantage | $81 | 64% |
| Mmc Healthy Blue Dual Adv | $81 | 64% |
| Mmc Mcr Hmo Miscellaneous | $81 | 64% |
| Mmc Priority Hlth Pffs | $81 | 64% |
| Mmc Vantage Hlth | $81 | 64% |
| Mmc Wellcare | $81 | 64% |
| Mutual Of Omaha | $81 | 64% |
| Neba Inc | $81 | 64% |
| Philadelphia American Lif | $81 | 64% |
| Sentinel Security Life | $81 | 64% |
| Trustmark Health Benefits | $81 - $412 | 64% |
| Tunica Biloxi | $81 - $412 | 64% |
| United Amer Ins | $81 | 64% |
| Veterans Evaluation Serv | $81 | 64% |
| Wps Vacca | $81 | 64% |
| Correct Cr Int Hlt | $86 | 68% |
| Mcd Amerihealth Caritas | $86 | 68% |
| Mcd Healthy Blue | $86 | 68% |
| Mcd La Hc Conn | $86 | 68% |
| Medicaid / KanCare | $86 | 68% |
| Mcd Ms | $94 | 74% |
| Gulf South Zelis | $105 | 83% |
| Student Assurances | $124 - $412 | 98% |
| Blue Cross Blue Shield | $138 | 109% |
| Ofc Of Grp Bene | $138 | 109% |
| Amer Contl Ins | $145 - $232 | 115% |
| Coventry | $145 - $232 | 115% |
| First Choice Health | $145 - $232 | 115% |
| Meritan Health | $145 - $412 | 115% |
| Ppo Plus Llc | $248 | 196% |
| Zelis Healthcare Bpa | $248 | 196% |
| Gilsbar | $260 | 206% |
| Amerind | $371 | 294% |
| Applied Underwriters | $371 | 294% |
| Sedgwick | $371 | 294% |
| Us Dept Of Labor | $371 | 294% |
| Wc Clms Admin Svcs | $371 | 294% |
| Wc Clms Mgmnt Walmart | $371 | 294% |
| Wc Esis | $371 | 294% |
| Wc Fara | $371 | 294% |
| Wc Gallagher Bassett | $371 | 294% |
| Wc Guide One | $371 | 294% |
| Wc Hartford Med | $371 | 294% |
| Wc Luba | $371 | 294% |
| Wc Lwcc | $371 | 294% |
| Wc Paragon Casino Resort | $371 | 294% |
| Wc Risk Mgmnt | $371 | 294% |
| Wc Stone Trust | $371 | 294% |
| Wc Summit Consulting Hold | $371 | 294% |
| Wc Travelers Ins | $371 | 294% |
| Wc Trs Workers Comp Claim | $371 | 294% |
| Wc Us Dol | $371 | 294% |
| Wc Zurich | $371 | 294% |
| Aarp | $412 | 326% |
| Admin Concepts | $412 | 326% |
| All Saints Hospice | $412 | 326% |
| All State | $412 | 326% |
| Allegiance Health Hospice | $412 | 326% |
| Allied Natl | $412 | 326% |
| Amfirst | $412 | 326% |
| Avoy Parish School Board | $412 | 326% |
| Avoyelles Parish Sheriff | $412 | 326% |
| Bollinger | $412 | 326% |
| Ccmsi | $412 | 326% |
| Central States | $412 | 326% |
| Christus Health Plan | $412 | 326% |
| Compassionate Care Hospic | $412 | 326% |
| Core Source | $412 | 326% |
| Coushatta Hlth Dept | $412 | 326% |
| Ebms | $412 | 326% |
| Federated Ins | $412 | 326% |
| Feedom Life | $412 | 326% |
| Fidelity Standard Life Co | $412 | 326% |
| Fox Everette | $412 | 326% |
| Guarantee Trust | $412 | 326% |
| Heart Of Hospice | $412 | 326% |
| Hos Christus Hospice | $412 | 326% |
| Hos Guardian Hospice Care | $412 | 326% |
| Hos Harbor Hospice Alex | $412 | 326% |
| Hos La Hospice Palliative | $412 | 326% |
| Hos Passages Hospice N. | $412 | 326% |
| Hos St Joseph Hospice | $412 | 326% |
| Hospice Miscellaneous | $412 | 326% |
| Ins Mgmnt Admin | $412 | 326% |
| Ins Tpa | $412 | 326% |
| Liberty Health Share | $412 | 326% |
| Lumico | $412 | 326% |
| Manhattan Life Ins | $412 | 326% |
| Medi Share | $412 | 326% |
| Misc Comm | $412 | 326% |
| Nalc | $412 | 326% |
| New Era Life | $412 | 326% |
| North American | $412 | 326% |
| Phcs | $412 | 326% |
| Physicians Mutual | $412 | 326% |
| Pipeline Ind Bene | $412 | 326% |
| Progressive Auto | $412 | 326% |
| Reliance Standard Life | $412 | 326% |
| Rural Carriers | $412 | 326% |
| Shelter Ins Co | $412 | 326% |
| Sierre Health And Life | $412 | 326% |
| State Farm | $412 | 326% |
| State Mutual | $412 | 326% |
| Sterling Investors | $412 | 326% |
| The Health Plan | $412 | 326% |
| Tribal Hlth Partners | $412 | 326% |
| Tricare | $412 | 326% |
| Uct | $412 | 326% |
| Unified Life | $412 | 326% |
| Usaa Life Ins | $412 | 326% |
| Web-Tpa | $412 | 326% |
| Woodmen Of The World | $412 | 326% |