CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Bayou Bend Health System

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $163
Cash Discount Price: $191
vs. Medicare Baseline: 1.29x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Bayou Bend Health System is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $191. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.29x the Medicare baseline. Located in 1097 Northwest Blvd, Franklin, LA.

Cash / Self-Pay

$191

Average discount available for prompt cash payment at this facility.

Insurance Median

$163

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: $191 (151%)

Insurance Median: $163 (129%)

Cash: $191 (151% of Medicare)

Ins. Median: $163 (129% 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
Blue Cross Blue Shield	$99 - $222	78%
Tricare	$104 - $142	82%
Aetna	$116 - $214	92%
Dignity Mcr Adv Ip/Op Only-All Plans	$116 - $158	92%
Humana	$116 - $205	92%
Sterling Hp Mcr Adv Ip/Op Only-All Plans	$116 - $158	92%
UnitedHealthcare	$116 - $160	92%
Verity Healthnet Mcr Adv Ip/Op Only	$116 - $158	92%
Wellcare Mcr Allwell Ip/Op Only-All Plans	$116 - $158	92%
Ambetter / Centene	$133 - $181	105%
Cigna	$162 - $220	128%
Amerihealth Caritas Mcaid Ip/Op Only-All Plans	$163 - $222	129%
La Health Mcaid Ip/Op Only	$163 - $222	129%
Verity Healthnet Mcaid Ip/Op Only	$163 - $222	129%
Diocese Of Lafaytte Ip/Op Only-All Plans	$173 - $236	137%
Gilsbar 360 Ip/Op Only-All Plans	$173 - $236	137%
Verity Healthnet Ip/Op Only-All Other Plans	$173 - $236	137%
Ccn/First Health Ip/Op Only-All Plans	$185 - $252	147%
Integrated Hp Multiplan Ip/Op Only-All Plans	$185 - $252	147%
Ppo Plus / Zelis Ip/Op Only-All Plans	$185 - $252	147%
Geha Ppo Ip/Op Only-All Plans	$196 - $268	155%
Usa Mco Ip/Op Only-All Plans	$196 - $268	155%
Galaxy Ip/Op Only-All Plans	$208 - $284	165%

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 $191.
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 Bayou Bend Health System 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.