CMS Price Transparency Data
Diagnostic mammogram (both breasts)
Facility: Claiborne Memorial Medical Center
Billing Code: 77066 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77066
- Insurance Median: $231
- Cash Discount Price: $285
- vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Claiborne Memorial Medical Center is $231. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $285. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.47x the Medicare baseline. Located in 620 East College Street, Homer, LA.
Cash / Self-Pay
$285
Average discount available for prompt cash payment at this facility.
Insurance Median
$231
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: $285 (182%)
Insurance Median: $231 (147%)
Cash: $285 (182% of Medicare)
Ins. Median: $231 (147% 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
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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 |
|---|---|---|
| Aetna | $96 - $185 | 61% |
| Arcadian Community Mcr Hm | $96 | 61% |
| Blue Cross Blue Shield | $96 - $231 | 61% |
| Champus | $96 | 61% |
| Champva | $96 | 61% |
| Cigna | $96 - $214 | 61% |
| Healthy Blue Dual Adv | $96 | 61% |
| Humana | $96 - $285 | 61% |
| Kaiser Foundation Health | $96 | 61% |
| Medicare (plans) | $96 | 61% |
| Peoples Health Network | $96 | 61% |
| Pyramid Claims Mcr Hmo | $96 | 61% |
| Sterling Connect 2 | $96 | 61% |
| Sterling Premier Mc Hmo | $96 | 61% |
| Superior Health Mcr Hmo | $96 | 61% |
| Tenet Mcr Hmo | $96 | 61% |
| Tricare | $96 | 61% |
| United Hc Mcr Hmo | $96 | 61% |
| UnitedHealthcare | $96 - $122 | 61% |
| Universal Hc Mcr Hmo | $96 | 61% |
| Us Dept Of Labor | $96 | 61% |
| Vantage Health Mcr Hmo | $96 | 61% |
| Windsor Sterling Mcr Hmo | $96 | 61% |
| Wps Mvh Vapc3 | $96 | 61% |
| Commercial Insurance | $114 - $285 | 73% |
| Meritain Health | $114 - $185 | 73% |
| Amerihealth Caritas La | $122 | 78% |
| Community Health Solution | $122 | 78% |
| Correctcare Intergrated | $122 | 78% |
| Healthy Blue | $122 | 78% |
| Louisiana Hc Connections | $122 | 78% |
| Magellan Services | $122 | 78% |
| Medicaid / KanCare | $122 - $126 | 78% |
| Ambetter / Centene | $126 | 80% |
| Vantage Health Plan Inc | $159 | 101% |
| Coventry Healthcare | $171 | 109% |
| Geha | $200 | 127% |
| Health Plus Of La | $200 - $214 | 127% |
| Apwu Healthplan | $214 | 136% |
| Great West Healthcare | $214 | 136% |
| Phcs | $228 | 145% |
| Ppo Plus | $228 | 145% |
| Sedgwick Claims Mgmt Serv | $256 | 163% |
| Workman'S Comp | $256 | 163% |
| Aarp | $285 | 182% |
| Accordia National | $285 | 182% |
| Aflac | $285 | 182% |
| Alameda Alliance Forhealt | $285 | 182% |
| American Pioneer | $285 | 182% |
| Benefit Management | $285 | 182% |
| Benesys Inc | $285 | 182% |
| Business Guarantor | $285 | 182% |
| Chubb | $285 | 182% |
| Commercial Sr. Care | $285 | 182% |
| Employee Benefit Services | $285 | 182% |
| Family Life Insurance Co | $285 | 182% |
| Farm Bureau Insurance | $285 | 182% |
| Fiserv Health Benefit | $285 | 182% |
| Gmp | $285 | 182% |
| Group And Pension Admin | $285 | 182% |
| Group Resources | $285 | 182% |
| Haik Minvielle And Grubbs | $285 | 182% |
| Harrington Benefit Svs | $285 | 182% |
| Health Design Plus | $285 | 182% |
| Health Plan | $285 | 182% |
| Healthscope Benefits | $285 | 182% |
| Insurance Management Admi | $285 | 182% |
| Jefferson National | $285 | 182% |
| John Alden Health Ins | $285 | 182% |
| John Hancock | $285 | 182% |
| Liberty Mutual | $285 | 182% |
| Mailhandlers Benefit Plan | $285 | 182% |
| Manhattan Life Ins Co | $285 | 182% |
| Mega Life And Health | $285 | 182% |
| Msa Careguard | $285 | 182% |
| Mutual Of Omaha | $285 | 182% |
| Nalc Health Benefit Plan | $285 | 182% |
| Naphcare Inc. | $285 | 182% |
| New Era Life Ins Co | $285 | 182% |
| Physicians Mutual | $285 | 182% |
| Principal Financial Group | $285 | 182% |
| Prudential Healthcare | $285 | 182% |
| Self Pay | $285 | 182% |
| State Farm | $285 | 182% |
| State Farm Insurance | $285 | 182% |
| State Mutual Insurance Co | $285 | 182% |
| Sterling Investors Life | $285 | 182% |
| Tower Life | $285 | 182% |
| Transamerica Premier Ins | $285 | 182% |
| United American | $285 | 182% |
| United Comm Travelers | $285 | 182% |
| United Teachers | $285 | 182% |
| Usable Administrator | $285 | 182% |
| Visn 16 Cfu | $285 | 182% |
| Wausau Benefits | $285 | 182% |
| Webtpa | $285 | 182% |
| Wells Fargo | $285 | 182% |
| Woodmen Of The World | $285 | 182% |