CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Ochsner Medical Center - Baton Rouge

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $126
Cash Discount Price: $86
vs. Medicare Baseline: 0.80x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Ochsner Medical Center - Baton Rouge is $126. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.80x the Medicare baseline. Located in 17000 Medical Center Dr, Baton Rouge, LA.

Cash / Self-Pay

$86

Average discount available for prompt cash payment at this facility.

Insurance Median

$126

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: $86 (55%)

Insurance Median: $126 (80%)

Cash: $86 (55% of Medicare)

Ins. Median: $126 (80% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Zelis	$25	16%
Humana	$53 - $96	34%
UnitedHealthcare	$53 - $126	34%
Healthy Blue (Healthy Louisiana)	$54	34%
Louisiana Healthcare Connections (Healthy Louisiana)	$54	34%
Aetna	$55 - $276	35%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$55	35%
Medicaid / KanCare	$84	54%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$96	61%
Blue Cross Blue Shield	$96 - $198	61%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$96	61%
Medicare (plans)	$96	61%
Ochsner Health Plan	$96	61%
Tricare	$144	92%
Claritev D/B/A Multiplan/Phcs/American Life Care	$162	103%
Healthcomp & Personify Health (Formerly Gilsbar)	$162	103%
Louisiana Workers' Compensation Corporation (Lwcc)	$202	129%
Mississippi Physicians Care Network	$202	129%
First Health Network	$216	138%
Cigna	$223	142%
Prime Health Services Ppo	$230	147%
Usa Managed Care Network	$230	147%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $86.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Medical Center - Baton Rouge is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.