CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Bayou Bend Health System

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $162
Cash Discount Price: $162
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Bayou Bend Health System is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $162. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.03x the Medicare baseline. Located in 1097 Northwest Blvd, Franklin, LA.

Cash / Self-Pay

$162

Average discount available for prompt cash payment at this facility.

Insurance Median

$162

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: $162 (103%)

Insurance Median: $162 (103%)

Cash: $162 (103% of Medicare)

Ins. Median: $162 (103% 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
Tricare	$104	66%
Aetna	$116 - $158	74%
Blue Cross Blue Shield	$116 - $163	74%
Dignity Mcr Adv Ip/Op Only-All Plans	$116	74%
Humana	$116 - $151	74%
Sterling Hp Mcr Adv Ip/Op Only-All Plans	$116	74%
UnitedHealthcare	$116 - $193	74%
Verity Healthnet Mcr Adv Ip/Op Only	$116	74%
Wellcare Mcr Allwell Ip/Op Only-All Plans	$116	74%
Ambetter / Centene	$133	85%
Cigna	$162	103%
Amerihealth Caritas Mcaid Ip/Op Only-All Plans	$163	104%
La Health Mcaid Ip/Op Only	$163	104%
Verity Healthnet Mcaid Ip/Op Only	$163	104%
Diocese Of Lafaytte Ip/Op Only-All Plans	$174	111%
Gilsbar 360 Ip/Op Only-All Plans	$174	111%
Verity Healthnet Ip/Op Only-All Other Plans	$174	111%
Ccn/First Health Ip/Op Only-All Plans	$186	118%
Integrated Hp Multiplan Ip/Op Only-All Plans	$186	118%
Ppo Plus / Zelis Ip/Op Only-All Plans	$186	118%
Geha Ppo Ip/Op Only-All Plans	$197	125%
Usa Mco Ip/Op Only-All Plans	$197	125%
Galaxy Ip/Op Only-All Plans	$209	133%

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 $162.
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 Bayou Bend Health System 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.