CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Acadian Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $429
Cash Discount Price: $156
vs. Medicare Baseline: 3.40x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Acadian Medical Center is $429. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $156. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 3.40x the Medicare baseline. Located in 3501 Highway 190 East, Eunice, LA.

Cash / Self-Pay

$156

Average discount available for prompt cash payment at this facility.

Insurance Median

$429

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: $156 (124%)

Insurance Median: $429 (340%)

Cash: $156 (124% of Medicare)

Ins. Median: $429 (340% 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 340% of the Medicare baseline (a markup of 240%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Tricare	$65 - $120	51%
Medicare (plans)	$81 - $536	64%
Aetna	$95 - $101	75%
Mcd Hmo Amerigroup	$95 - $101	75%
Mcd Hmo La Care	$95 - $101	75%
Mcd Hmo La Hlth Cr Connct	$95 - $101	75%
Medicaid / KanCare	$95 - $536	75%
UnitedHealthcare	$95 - $101	75%
Pp0/Manged Care	$97 - $536	77%
Mcd Hmo Com Hlth Solution	$105 - $111	83%
Ppo/Manged Care	$120 - $536	95%
Charity/Map	$151 - $536	120%
Blue Cross Blue Shield	$165	131%
American Postal Workers	$321 - $341	254%
Work Comp	$454 - $482	360%
Auto Insurance	$504 - $536	399%
Bankers Fidelity	$504 - $536	399%
Commerical	$504 - $536	399%
Commerical Ip	$504 - $536	399%
Industrial	$504 - $536	399%
Mra Auto/Liability	$504 - $536	399%

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 $156.
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 Acadian Medical Center 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.