CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Monroe Surgical Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $150
Cash Discount Price: $218
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Monroe Surgical Hospital is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $218. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.19x the Medicare baseline. Located in 2408 Broadmoor Blvd, Monroe, LA.

Cash / Self-Pay

$218

Average discount available for prompt cash payment at this facility.

Insurance Median

$150

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: $218 (173%)

Insurance Median: $150 (119%)

Cash: $218 (173% of Medicare)

Ins. Median: $150 (119% 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.

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
Healthy_Blue	$36 - $40	29%
Medicaid / KanCare	$36 - $40	29%
Aetna	$81 - $217	64%
Blue_Cross_Blue_Shield	$81 - $125	64%
Ford_Bacon_And_Davis	$81 - $178	64%
Gilsbar	$81 - $174	64%
Humana	$81 - $141	64%
Insurance_Systems	$81 - $113	64%
Medicare (plans)	$81	64%
UnitedHealthcare	$81 - $214	64%
Vantage	$81 - $152	64%
Insurance_Systems_Smso_Employee	$101	80%
Verity	$133	105%
Beech_St	$178 - $263	141%
Cigna	$178 - $232	141%
First_Health	$197 - $217	156%
Ima	$225 - $248	178%
Workers_Comp	$253 - $279	200%

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 $218.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77067.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Monroe Surgical Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77067.
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.